Exam 22: Metabolic and Respiratory Stress

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Margaret Chen is a 73-year-old widow and mother of 3 adult children. She visits her physician due to decreased appetite, lethargy, weight loss, and a productive cough for the past 2 weeks. Her past medical history includes osteoporosis, sinusitis, respiratory infections, and smoking. -Many of the medications used to treat COPD can cause gastrointestinal effects such as:

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Ms.Caba is on a mechanical ventilator with acute ling injuries.To decrease inflammation and promote healing, the registered dietitian recommends:

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Margaret Chen is a 73-year-old widow and mother of 3 adult children. She visits her physician due to decreased appetite, lethargy, weight loss, and a productive cough for the past 2 weeks. Her past medical history includes osteoporosis, sinusitis, respiratory infections, and smoking. -Margaret is diagnosed with COPD.What is the primary cause?

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Ryan's knee was injured in a basketball game.When he gets home he notices swelling, redness, heat and pain in his knee.What is causing the redness?

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How are MODS and sepsis related?

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Why is the assessment of nutritional needs during acute stress not always straightforward?

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The metabolic effects of hormones released during the stress response include which of the following?

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Timothy is a studying to be a physician.He should expect C-reactive protein to be elevated in patients with:

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Shock is initiated by a sudden drop in

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Margaret Chen is a 73-year-old widow and mother of 3 adult children. She visits her physician due to decreased appetite, lethargy, weight loss, and a productive cough for the past 2 weeks. Her past medical history includes osteoporosis, sinusitis, respiratory infections, and smoking. -The physician makes several recommendations for Margaret.Which of the following would not be among these recommendations?

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Which of the following symptoms is not characteristic of sepsis?

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What is the significance of the hormones released during the stress response?

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Which of the following is true regarding patients with diseases of the respiratory system?

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Risk factors for the development of COPD do not include which of the following?

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Maggie, newly diagnosed with COPD, might benefit from which of the following recommendations to help her increase her food intake?

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During the immediate post-burn period, the treatment of an extensive burn focuses on

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Maggie has been diagnosed with COPD.Which of the following might her physician advise her to do?

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Case Studies
Forty-three-year-old Joseph Delgado is an electrician for a utility company. His past medical history is unremarkable with no problems. He is admitted to the ICU (intensive care unit) with severe electrical burns to his hands, arms, and chest (20-30% body surface area).
The most appropriate way to meet Joseph’s nutritional needs is via:
a high-calorie/high-protein diet with 6 small meals/day.
What is the main nutritional goal for Joseph?
Increase intake ≥ 75% of meals
Increase arginine production
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Responses:
The most appropriate way to meet Joseph’s nutritional needs is via:
a high-calorie/high-protein diet with 6 small meals/day.
What is the main nutritional goal for Joseph?
Increase intake ≥ 75% of meals
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Betty is a 45-year-old woman who has recently been involved in an automobile accident.Her injuries include a broken leg and two broken ribs.What clinical finding would you expect for this patient?

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Protein intake should average _____ percent of total calories for clients with burns greater than 10% TBSA.

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