Author Question: A client is diagnosed as having a negative nitrogen balance. How should the nurse instruct the ... (Read 26 times)

biggirl4568 · **on:** Jul 23, 2018

A client is diagnosed as having a negative nitrogen balance. How should the nurse instruct the client about this finding?

1. Discuss ways to reduce protein in the diet.
2. Review how to limit carbohydrates in the diet.
3. Discuss ways to increase protein in the diet.
4. Analyze reasons why fats should be limited in the diet.

Question 2

The nurse is planning an educational program for community members on ways to improve nutritional intake. What information should the nurse include about carbohydrate digestion and metabolism?

1. Enzymes are needed to digest carbohydrates.
2. The breakdown of carbohydrates results in simple sugars.
3. Carbohydrates are a major source of body energy.
4. The simple sugar glucose provides a readily available source of energy.
5. Pancreatic amylase enhances the use of glucose by the body cells.

Sammyo · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: This would further decrease the client's protein stores, worsening the nitrogen balance.
Rationale 2: Nitrogen balance does not measure carbohydrate intake in the diet.
Rationale 3: Nitrogen balance means the amounts of protein anabolism and protein catabolism are equal. In negative nitrogen balance, there is an excessive amount of protein catabolism or a decrease in the amount of protein ingested in the diet.
Rationale 4: Fat intake does not influence nitrogen balance.

Answer to Question 2

Correct Answer: 1,2,3,4
Rationale 1: Major enzymes of carbohydrate digestion speed up chemical reactions.
Rationale 2: The desired end products of carbohydrate digestion are monosaccharides. Some simple sugars are already monosaccharides, and require no digestion.
Rationale 3: Carbohydrate metabolism is a major source of body energy.
Rationale 4: After the body breaks carbohydrates down into glucose, some glucose continues to circulate in the blood to maintain blood levels and to provide a readily available source of energy.
Rationale 5: Insulin, a hormone secreted by the pancreas, enhances the transport of glucose into cells.