Deck 5: Energy Balance

Question 1

A nurse is reviewing exercise possibilities with a 45-year-old client who suffered a heart attack 1 month ago. Which types of exercise is the nurse expected to discuss? Select all that apply.
1)Cycling
2)Swimming
3)Dancing
4)Sprinting
5)Weights

Answer 1

1, 2, 3

Question 2

A nurse is teaching clients about healthy diets. If the clients, who are all at healthy weights, were to eat in excess of only 1% per day, what would happen with their weight?
1)Increase drastically
2)Decrease slightly
3)Remain the same
4)Show slight increase

Answer 2

3

Question 3

A nurse is caring for an elderly client diagnosed with a broken pelvis after a fishing accident. The client has been in the ICU on bedrest for the past 2 weeks. What can this client do to prevent loss of lean body mass?
1)Isometric exercises
2)Ingest protein
3)Increase kilocalories
4)Increase fats

Answer 3

1

Question 4

A nurse teaches a client with diabetes. Which foods should the nurse mention as high in kilocaloric density? Select all that apply.
1)Sugar
2)Cantaloupe
3)Milk
4)Steak
5)Butter

Question 5

A nurse is teaching clients about healthy living and obtaining adequate foods in our diets for energy. Which statement by the clients shows an understanding of measuring energy in food?
1)"Calories are heat energy required to raise 1 kilogram of water by 4°C."
2)"Energy in food is determined by the number of grams of nutrients eaten."
3)"My nutritionist measures energy content of food by using a bomb calorimeter."
4)"Energy, whether in food or the body, is measured by chemical energy called carbs."

Question 6

A nurse is caring for a male pediatric client. The client's mother complains, "I'm being eaten out of house and home!" What does the nurse explain to the parent about growth spurts?
1)"Your child is going through puberty, so energy requirements are high."
2)"Your child is shorter than average, which means he likely has more muscle tissue."
3)"Your child is shorter than average, which means he expends more energy than others."
4)"Your child may be tested for parasites just to make sure it's a growth spurt."

Question 7

Which does a nurse teach the client the body requires in order to meet REE?
1)Exercise
2)Energy
3)Food
4)Protein

Question 8

A nurse is teaching a client diagnosed as being slightly overweight with prediabetes about the importance of a healthy diet. What does the nurse identify as important about the thermic effect of food?
1)The consumption of protein and CHO has a large thermic effect.
2)Proteins and fats are needed to produce a thermic effect in the body.
3)Only proteins can provide the needed thermic effect for metabolism.
4)Glucose is metabolized more efficiently compared to protein.

Question 9

A nurse received report from the gastrointestinal department and is waiting to admit a client diagnosed with many food allergies. The client wants to become a vegetarian. The nurse teaches that a sufficient amount of kilocalories are needed to support REE. Which processes are supported by an REE of 45% to 80% of total energy expenditure? Select all that apply.
1)Contraction of the heart
2)Maintenance of cellular processes
3)Digestion of a meal
4)Transportation of oxygen on Hgb
5)Wound repair

Question 10

Which statement made to a nurse about direct measurement of energy used by the human body indicates that more teaching is necessary?
1)"The indirect calorimetry is the way my health-care provider measures energy."
2)"My doctor could measure my energy by placing me in the heat-insulated chamber."
3)"Direct calorimetry will measure my expired oxygen and carbon dioxide levels."
4)"Direct calorimetry measures energy by the heat that emanates from my body."

Question 11

A nurse is teaching clients at the YMCA about the energy cost of physical activity. The nurse refers to the activities of daily living that burn calories as NEAT. What do the letters of NEAT stand for?
1)Nonexercise activity thermogenesis
2)No expenditure for activities timed
3)Normal energy for active thermogenesis
4)Normal exercise for activity training

Question 12

A nurse is teaching a client that anaerobic exercise, such as tai chi, may help manage her medical conditions. Which of the following may be concerns for this client? Select all that apply.
1)Increased physical stability
2)Increased cell regeneration
3)Improved hypertension control
4)Increased flexibility
5)Reversal of varicose veins

Question 13

The body tries to keep in energy balance and has metabolic survival mechanisms to maintain balance. Why are these processes detrimental in modern times?
1)Food is plentiful.
2)Energy content in food has changed.
3)Those mechanisms have malfunctioned.
4)Resting energy expenditure has increased.

Question 14

A nurse teaches a client that aerobic exercise may benefit her medical conditions. Which conditions is the client likely concerned with? Select all that apply.
1)Cardiovascular disease
2)Osteoporosis
3)Uncontrolled blood sugar
4)Diminished sleep quality
5)Early-onset dementia

Question 15

Which involuntary activity helps contribute to the client's REE?
1)Digestion of food
2)Muscle coordination
3)Utilization of nutrients
4)Walking to class

Question 16

When discharging a client who had gastric-bypass surgery, a nurse makes sure to teach that internal regulation of energy balance involves which body system and processes? Select all that apply.
1)Gastrointestinal tract
2)Endocrine system
3)Brain
4)Fat stores
5)Liver function

Question 17

When taking care of a client diagnosed with severe whiplash and concussion from a car accident, a nurse notes that the client has a good appetite, but is maintaining the same weight, even while on bedrest. Which process does the nurse suspect as the reason?
1)High body protein content
2)High body fat stores
3)High carbohydrate consumption
4)High energy consumption

Question 18

Which processes are evident in the physiologic regulation of energy balance? Select all that apply.
1)Weight gain
2)Exercise
3)Weight loss
4)Diet
5)Protein intake

Question 19

A nurse teaches clients that when an individual maintains a stable body weight, the body is in energy balance. Which term explains this phenomenon?
1)Consumption
2)Regulation
3)Homeostasis
4)Thermogenesis

Question 20

A nurse working with a nutritionist regarding resting energy expenditure (REE) for clients. Which Harris-Benedict formula would the nurse use to calculate the REE of a 35-year-old female client?

A)655 + (9.6*weight in kg) + (1.8 * height in cm) - (4.7 *age in years)
B)66.5 + (13.8 *weight in kg) + (5 * height in cm) - (6.8 *age in years)
C)65 + (9.6 * weight in kg) + (18 * height in cm) - (5 * age in years)
D)665 + (14 * weight in kg) + (9 * height in cm) - (7 * age in years)