Exam 16: Nutrition in Metabolic and Respiratory Stress

Nursing Exam Review Multiple Choice John has been hospitalized with a severe infection in his foot. The nurse recognizes that increasing his intake of _____ may help to suppress the inflammation.

The high nutrient requirements of acutely stressed patients often require a patient to be fed via the enteral or parenteral route to meet his or her nutritional needs.

Excessive energy intake in patients with ARDS can worsen respiratory function.

One factor that increases the risk of a patient developing MODS is:

Protein synthesis is inhibited by:

Patients under 55 years old are several times more likely to develop MODS than are older patients.

The first organ to fail in MODS is often the:

The inflammatory process can alter immune cell function in the body.

Nursing Exam Review Multiple Choice Mr. Morgan is a critically ill patient in the ICU who is on TPN. The nurse understands that monitoring his _____ can help to determine if he is being overfed.

Kati is a 19-year-old female who suffered a head injury and multiple broken bones in a motorcycle accident. She is currently in a coma, on a mechanical ventilator, and receiving enteral nutrition. Kati is 5'2" tall and weighs 115 pounds. The stress of Kati's condition places her at risk of hypermetabolism. What kind of complication is most closely associated with hypermetabolism as a result of stress?

A COPD patient who complains of abdominal discomfort and dyspnea may benefit from:

Kati is a 19-year-old female who suffered a head injury and multiple broken bones in a motorcycle accident. She is currently in a coma, on a mechanical ventilator, and receiving enteral nutrition. Kati is 5'2" tall and weighs 115 pounds. Kati's protein needs are estimated at 1.2 to 2 g/kg of body weight based on her condition. Based on this estimation, her daily protein intake would then be _____ g per day.

A parenteral feeding should supply no more than _____ milligrams of dextrose per kilogram of body weight per minute to prevent hyperglycemia in critically ill patients .

If stress continues for a long period, growth retardation and illness can occur.

Describe the risk factors associated with development of multiple organ dysfunction syndrome (MODS).

Kati is a 19-year-old female who suffered a head injury and multiple broken bones in a motorcycle accident. She is currently in a coma, on a mechanical ventilator, and receiving enteral nutrition. Kati is 5'2" tall and weighs 115 pounds. Estimate Kati's energy needs using the Ireton-Jones equation: 1784+ [5 ´x wt (kg)] - [11   ´x age (yr)] + (244   x sex) + (239 x trauma) + (804  x  burn).

Underfeeding an acutely stressed patient improves nitrogen balance and decreases lean tissue losses.

Explain the metabolic effects of corticosteroid drugs.

In critically ill patients, a high intake of _____ may suppress immune function and increase the risk of developing infections.

What compound is produced by white blood cells and participates in the inflammatory process?