Nursing application Energy
What information should the nurse gather during assessment? Select all that apply.
*Activity level *Change in family status *Recent dietary intake *Mood and affect
What are factors to consider when determining a client's energy needs? Select all that apply.
*Activity level *Pregnancy and lactation *Current injury *Chronic illness *Age
A nurse is providing prenatal teaching to a first time, 8 week pregnant female and includes the extra nutritional needs during pregnancy. the client responds, "That's a lot of supplements and things to eat. I want my baby to be healthy, but I'm afraid that all of those things will be too much and I will get really fat." What is the appropriate response by the nurse?
"Being pregnant is overwhelming and scary, and I understand your concerns. For you and your baby to be healthy you need these things. Fueling your body with nutrients and healthy food will make sure you both have enough energy."
The parent steps out of the room but does so reluctantly. The nurse follows the parent outside to explain. The parent says, "I just don't understand why I can't stay in there." What is the appropriate response?
"Sometimes teens can have trouble expressing feelings in front of parents due to fear of hurting your feelings or fearing punishment. Let me see if I can get your child to give us more information."
Identify the three (3) macronutrients that provide nutritional fuel that can be converted into energy for the human body.
*Carbohydrates *Proteins *Fats
A client with Heart failure, chronic obstructive pulmonary disease (COPD), air hunger, who is wheelchair bound is concerned because of lack of energy. What strategies should the nurse suggest to the client? Select all that apply.
*Delegate activities to others in the house *Take short naps before activities like bathing and eating *Consult meals on wheels to deliver food to the client *Plan activities for the day and group like things together
A 45-year-old male client states that he doesn't have the same amount of energy that he used to have when he was younger, but it doesn't negatively impact his life. What can the nurse assess? Select all that apply.
*Multivitamin intake *Oxygen saturation *Level of activity
1. Fatigue 2. Excess nutritional intake 3. Activity intolerance 4. Disruption in sleep patterns 5. Impaired physical mobility
1. Evaluate serum electrolytes, BUN, creatinine, glucose levels 2. Calculate BMR, BMI and complete health history 3. Teach activity conservation activities 4. Evaluate for signs and symptoms of insomnia, obstructive apnea, family dynamic changes and anxiety 5. Collaborate with physical and occupational therapy for modifications to physical activity
1. Increased Energy 2. Decreased Energy 3. Decreased Iron 4. Vitamin D 5. B Vitamins 6. Increased Protein
1. Pregnant female Lactating female 3-month-old 14-year-old 2. .94-year-old 3. Lactating female 4. 60-year-old 94-year-old 5. Pregnant female Lactating female 38-year-old male 6. Pregnant female 3-month-old 14-year-old
1. Concerning 2. Not concerning
1. Recent breakup; relationship change Increased sleeping Decreased activity Eating junk food 2. Following team nutritionist diet Desire to be state wrestling champ
In the human body, there are two processes that comprise the 1.____________ pathways; anabolism and catabolism. These two processes together are called 2._____________. They are interdependent and are closely regulated in the body by 3.____________. These energy pathways work together to produce energy for 4._______________ functions. The primary source of fuel for 5._______________ is food. The measurement of energy released from food is called 6.__________________.
1. metabolic 2. metabolism 3. hormones 4. life sustaining 5. energy 6. kilocalories
A client presents to the healthcare provider's office and reports fatigue lasting several weeks despite an active lifestyle and healthy diet. The client does not have any new medications, changes in weight, or other new symptoms. Based on the knowledge of energy requirements, what should the nurse prepare to do after evaluation by the healthcare provider?
Gather supplies for blood draw
A middle-aged client who is an avid runner is hospitalized for breaking both legs and sustaining spinal nerve impingement in a fall from a piece of machinery at work. The recovery process is long and the client voices concern about not being able to exercise. What should the nurse suggest for this client?
Having physical therapy tach the client exercises to do to maintain and improve upper body and core strength for now.
MyPlate, Healthy People 2030, and the United States Department of Agriculture dietary guidelines for Americans are suggested guidelines for intake across the lifespan. What level of physical activity are these recommendations based on?
Low-Moderate activity
When assessing the client, the nurse stops frequently due to arguing between the client and parent. The answers seem to be forced, and the nurse feels as if the client isn't being completely forthcoming. What is the appropriate action by the nurse?
Politely ask the parent to step out of the room for a moment to continue the assessment.
The healthcare provider diagnoses AJ with depression and places him on 25mg of sertraline once a day. After 10 days, AJ's mom calls and reports that AJ has started being angry, argumentative, easily agitated, and seems to be more secretive. What should the nurse recommend to the parent?
Return to the office today for reevaluation
