Question 1

Describe the body's hormonal responses to stress.

Accepted Answer

not answered

Question 2

Medical nutrition therapy for COPD involves all of the following except:

Accepted Answer

A) promoting a healthy body weight. 
B) preventing muscle loss. 
C) improving food intake. 
D) relieving chronic cough. 
A) promoting a healthy body weight. 
B) preventing muscle loss. 
C) improving food intake. 
D) relieving chronic cough. D

Question 3

Increased energy metabolism in hypermetabolic patients is associated with the need for increased amounts of:

Accepted Answer

A) vitamin C. 
B) zinc. 
C) B vitamins. 
D) vitamin E. 
A) vitamin C. 
B) zinc. 
C) B vitamins. 
D) vitamin E. C

Question 4

Explain the metabolic effects of stress hormones and how they potentially affect the nutritional status of a patient.

Accepted Answer

Stress hormones, such as cortisol and ad

Question 5

Which of the following substances is derived from fatty acids?

Accepted Answer

A) cortisol 
B) eicosanoids 
C) antihistamines 
D) cytokines 
A) cortisol 
B) eicosanoids 
C) antihistamines 
D) cytokines

Question 6

Describe three ways to estimate energy needs in a stressed patient.

Accepted Answer

1. Resting Energy Expenditure (REE) meas

Question 7

A patient with ARDS requires mechanical ventilation.The nurse recognizes that fluid accumulation is a potential problem and understands that this may make it difficult to assess his:

Accepted Answer

A) weight. 
B) temperature. 
C) kcalorie intake. 
D) fluid intake. 
A) weight. 
B) temperature. 
C) kcalorie intake. 
D) fluid intake.

Question 8

The inflammatory process can alter immune cell function in the body.

Accepted Answer

A) True 
 B)False

Question 9

The energy expenditure of acutely stressed patients may be raised due to all of the following except:

Accepted Answer

A) fever. 
B) mechanical ventilation. 
C) presence of open wounds. 
D) inactivity. 
A) fever. 
B) mechanical ventilation. 
C) presence of open wounds. 
D) inactivity.

Question 10

Excessive kcalorie intake in COPD patients may:

Accepted Answer

A) increase respiratory distress. 
B) alter taste perception. 
C) interfere with drug therapy. 
D) increase gas formation. 
A) increase respiratory distress. 
B) alter taste perception. 
C) interfere with drug therapy. 
D) increase gas formation.

Question 11

The principal infection associated with MODS is:

Accepted Answer

A) pneumonia. 
B) a fungal infection. 
C) herpes simplex. 
D) a viral infection. 
A) pneumonia. 
B) a fungal infection. 
C) herpes simplex. 
D) a viral infection.

Question 12

Describe the symptoms and complications associated with SIRS.

Accepted Answer

The answer of Describe the symptoms and complications associated with...

Question 13

In critically ill patients, a high intake of _____ may suppress immune function and increase the risk of developing infections.

Accepted Answer

A) fat 
B) dextrose 
C) protein 
D) zinc 
A) fat 
B) dextrose 
C) protein 
D) zinc

Question 14

A COPD patient who complains of abdominal discomfort and dyspnea may benefit from:

Accepted Answer

A) small, frequent meals. 
B) a low-fat diet. 
C) a high-fiber diet. 
D) consuming more liquids. 
A) small, frequent meals. 
B) a low-fat diet. 
C) a high-fiber diet. 
D) consuming more liquids.

Question 15

Which of the following methods was developed for estimating energy needs in a patient with traumatic and/or burn injuries?

Accepted Answer

A) Ireton-Jones energy equation 
B) indirect calorimetry 
C) Harris-Benedict equation 
D) 25-30 kcalories/kg body weight 
A) Ireton-Jones energy equation 
B) indirect calorimetry 
C) Harris-Benedict equation 
D) 25-30 kcalories/kg body weight

Question 16

A patient is admitted to the ER with multiple gunshot wounds.The nurse understands that the initial treatment includes:

Accepted Answer

A) initiating enteral nutrition. 
B) administering IV fluids. 
C) initiating PPN. 
D) referral to the dietitian. 
A) initiating enteral nutrition. 
B) administering IV fluids. 
C) initiating PPN. 
D) referral to the dietitian.

Question 17

Why are intestinal tube feedings preferred over gastric feedings for patients with acute respiratory failure?

Accepted Answer

The answer of Why are intestinal tube feedings preferred over...

Question 18

Complications associated with SIRS or sepsis include all of the following except:

Accepted Answer

A) tissue edema. 
B) low blood pressure. 
C) hypertriglyceridemia. 
D) impaired blood flow. 
A) tissue edema. 
B) low blood pressure. 
C) hypertriglyceridemia. 
D) impaired blood flow.

Question 19

Mary is a 59-year-old patient who suffered multiple broken bones in a motor vehicle accident.She weighs 138 pounds.The nurse chooses a protein factor of 1.5 g/kg to estimate her protein needs and calculates that Mary's protein requirements are approximately _____ grams per day.

Accepted Answer

A) 94 
B) 103 
C) 121 
D) 207 
A) 94 
B) 103 
C) 121 
D) 207

Question 20

To decrease the risk of infection, it will be important to keep Kati's _____ under control while she is recovering.

Accepted Answer

A) serum albumin 
B) blood glucose 
C) blood pressure 
D) serum prealbumin 
A) serum albumin 
B) blood glucose 
C) blood pressure 
D) serum prealbumin

Exam 16: Nutrition in Metabolic and Respiratory Stress

Describe the body's hormonal responses to stress.

Medical nutrition therapy for COPD involves all of the following except:

Increased energy metabolism in hypermetabolic patients is associated with the need for increased amounts of:

Explain the metabolic effects of stress hormones and how they potentially affect the nutritional status of a patient.

Which of the following substances is derived from fatty acids?

Describe three ways to estimate energy needs in a stressed patient.

A patient with ARDS requires mechanical ventilation.The nurse recognizes that fluid accumulation is a potential problem and understands that this may make it difficult to assess his:

The inflammatory process can alter immune cell function in the body.

The energy expenditure of acutely stressed patients may be raised due to all of the following except:

Excessive kcalorie intake in COPD patients may:

The principal infection associated with MODS is:

Describe the symptoms and complications associated with SIRS.

In critically ill patients, a high intake of _____ may suppress immune function and increase the risk of developing infections.

A COPD patient who complains of abdominal discomfort and dyspnea may benefit from:

Which of the following methods was developed for estimating energy needs in a patient with traumatic and/or burn injuries?

A patient is admitted to the ER with multiple gunshot wounds.The nurse understands that the initial treatment includes:

Why are intestinal tube feedings preferred over gastric feedings for patients with acute respiratory failure?

Complications associated with SIRS or sepsis include all of the following except:

Mary is a 59-year-old patient who suffered multiple broken bones in a motor vehicle accident.She weighs 138 pounds.The nurse chooses a protein factor of 1.5 g/kg to estimate her protein needs and calculates that Mary's protein requirements are approximately _____ grams per day.

To decrease the risk of infection, it will be important to keep Kati's _____ under control while she is recovering.

Overview of Nutrition and Health

Digestion and Absorption

Carbohydrates

Lipids

Protein

Energy Balance and Body Composition

Weight Management

The Vitamins

Water and the Minerals

Nutrition Through the Life Span: Pregnancy and Infancy

Nutrition Through the Life Span: Childhood and Adolescence

Nutrition Through the Life Span: Later Adulthood

Nutrition Care and Assessment

Nutrition Intervention and Diet-Drug Interactions

Enteral and Parenteral Nutrition Support

Nutrition and Upper Gastrointestinal Disorders

Nutrition and Lower Gastrointestinal Disorders

Nutrition and Liver Diseases

Nutrition and Diabetes Mellitus

Nutrition and Disorders of the Heart and Blood Vessels

Nutrition and Renal Diseases

Nutrition, Cancer, and Hiv Infection

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