NR228 - FINAL EXAM REVIEW QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED)

NR228 - FINAL EXAM REVIEW QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED) Significant Nutritional Risk Correct Answer Associated With Rapid Weight Loss In A Short Amount Of Time A Patient Who Experiences Rapid Weight Loss Should Plan For Increased Nutritional Intake 2 Weeks Prior To Any Planned Surgery Nutrients That Support Wound Healing Correct Answer Vitamin A Vitamin C Zinc Most Stressful Physical Trauma Correct Answer *Serious Burns* Result In Significant Increase In Metabolic Rate Glycogen Stores And Fasting Correct Answer Glycogen Stores Are Depleted After 24 Hours Of Starvation In Order To Meet Glucose Needs, The Body Would Need To Deaminate Amino Acids And Produce Glucose Via Gluconeogenesis Malnourished Patient - Priority Intervention Correct Answer Recommend Several Small Meals/Snacks Each Day Promotes Adequate Intake Without Fatigue Portion Sizes - Following Gastric Bypass Surgery Correct Answer After Bariatric Surgery, The Total Volume Of Food Eaten At A Meal Should Not Exceed 1 Cup Including No More Than 2 Oz Of Meat *Example* Half Of A Small Chicken Breast And ½ Cup Of Green Beans Metabolic Changes During Starvation Correct Answer The Body Conserves Energy During Starvation By Decreasing Metabolic Rate Body Temp Drops - Body Feels Colder Mental Acuity Decreases Due To Low Blood Glucose Starvations Vs. Stress - Metabolic Rate Correct Answer *Decreases During Starvation* Because The Body Is Trying To Conserve Energy *Increases During Stress* Because The Body Uses Energy To Heal The Injury Initial Injury (Ebb) Phase - Characteristics Correct Answer ↓ Oxygen Consumption ↓ Cardiac Output ↓ Plasma Volume Hypothermia *This Phase Lasts 36 To 48 Hours* Recovery (Flow) Phase - Characteristics Correct Answer ↑ Oxygen Consumption ↑ Cardiac Output ↑ Plasma Volume Hyperthermia *This Phase Begins After 48 Hours* Starvation/Fasting - Body Pulls Energy From... Correct Answer *Fat* During Starvation, The Body Conserves Protein And Glycogen Stores As Much As Possible All Body Tissues Other Than The Brain, Nerves, And Red Blood Cells Derive Most Of Their Energy From Fat Fluid Needs During Hypermetabolic Stress Correct Answer 35-40 Ml/Kg *Example* A Patient Who Weighs 60 Kg Should Have Ml Of Fluid Glutamine Correct Answer During Stress, Glutamine Is Mobilized In Large Quantities From Skeletal Muscle And The Lungs To Be Used Directly As A Fuel Source By Intestinal Cells Also Plays A Significant Role In Maintaining Intestinal Immune Function Enhances Wound Repair By Supporting Lymphocyte And Macrophage Proliferation, Hepatic Gluconeogenesis, And Fibroblast Function Refeeding - Lab To Watch Correct Answer *Phosphorus* Overfeeding Of A Malnourished Patient Can Result In Dangerous Hypophosphatemia As Phosphorus Enters The Cells From The Blood. Initial Injury (Ebb) Phase - Nutritional Priority