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Author Question: The nurse is admitting a healthy, 25-year-old male to the unit for outpatient knee surgery. During ... (Read 154 times)

mwit1967

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The nurse is admitting a healthy, 25-year-old male to the unit for outpatient knee surgery. During the nutrition assessment, it is determined that he weighs 78.2 kg.
 
  Using the rule-of-thumb guideline for calculating BMR, what is the approximate BMR of this client? A) 860 B) 1720 C) 1892 D) 2580

Question 2

Mr. P, a 48-year-old client, comes to the clinic today with a chief complaint of unplanned weight loss.
 
  During an assessment, the client reveals that he began working out at the gym about two months ago, and since then he continues to lose 34 pounds a month. The best response for the nurse would be: 1. Exercise requires extra energy and extra calories, so to maintain your weight you will need to eat more..
   2. When you exercise you always lose weight..
   3. You were overweight to begin with so don't worry unless it becomes a problem..
   4. Eat a couple of candy bars before you exercise to give you extra energy and maintain your weight..



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micaelaswann

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Answer to Question 1

C
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One imprecise, rule-of-thumb guideline for estimating BMR is to multiply healthy weight (in pounds) by 10 for women and 11 for men. First, convert the weight to pounds by multiplying, 78.2 kg  2.2 = 172.04; and then 172.04  11 = 1892.44.

Answer to Question 2

1
Rationale: Exercise increases the energy demands and kcalories utilized by the body. If additional calories are not consumed to compensate for the increased use the result will be a weight deficit. Although you may lose weight when you exercise regularly, weight is also determined by the number of calories consumed. One of the benefits of exercise in overweight people is weight loss. Although dense in calories, candy quickly metabolized in the body and is not a long lasting energy source.





 

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