Exam 22: Metabolic and Respiratory Stress

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For acutely ill patients with a functional GI tract, enteral feedings started in the first ____ hours after hospitalizations are associated with fewer complications and shorter hospital stays.

(Multiple Choice)
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Complications that result from refeeding syndrome include ____.

(Multiple Choice)
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Signs of sepsis include ____. ​

(Multiple Choice)
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Match each word or phrase with the most appropriate definition or explanation.
Premises:
medical emergency that causes dyspnea and pulmonary edema; usually requires assisted (mechanical)ventilation
Responses:
hypercapnia
multiple organ dysfunction syndrome
acute-phase response
Correct Answer:
Verified
Premises:
Responses:
medical emergency that causes dyspnea and pulmonary edema; usually requires assisted (mechanical)ventilation
hypercapnia
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Patients who have SIRS that persists for more than ____ are more likely to develop MODS. ​

(Multiple Choice)
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The principle infection associated with MODS is ____.

(Multiple Choice)
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What effects are most commonly seen when MODS causes lung failure?

(Multiple Choice)
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Explain the need for carbohydrate and fat intakes during acute stress. ​

(Essay)
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The inflammatory response begins with ____.

(Multiple Choice)
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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?

(Multiple Choice)
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What metabolic effect is most commonly seen with inhaled corticosteroids?

(Multiple Choice)
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Which treatment is most often used to manage MODS?

(Multiple Choice)
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Dave has 2nd degree burns on his back torso, left arm, and left leg. This represents about ____ percent of his total body surface area (TBSA).

(Multiple Choice)
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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 percent body surface area). The nurse orders a nutrition consult due to Joseph's poor intake. What is unlikely to be related to his low intake?

(Multiple Choice)
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Match each word or phrase with the most appropriate definition or explanation.
Premises:
changes in body chemistry resulting from infection, inflammation, or injury; characterized by alterations in plasma proteins
Responses:
hypercapnia
mast cells
respiratory stress
Correct Answer:
Verified
Premises:
Responses:
changes in body chemistry resulting from infection, inflammation, or injury; characterized by alterations in plasma proteins
hypercapnia
(Matching)
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What is the suggested kcalorie intake for hypocaloric feedings for obese patients who are critically ill?

(Multiple Choice)
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Match each word or phrase with the most appropriate definition or explanation.
Premises:
nonspecific responses of the immune system to infection or injury
Responses:
systemic inflammatory response syndrome (SIRS)
multiple organ dysfunction syndrome
hypoxia
Correct Answer:
Verified
Premises:
Responses:
nonspecific responses of the immune system to infection or injury
systemic inflammatory response syndrome (SIRS)
(Matching)
4.9/5
(76)

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 percent body surface area). What is the main nutritional goal for Joseph?

(Multiple Choice)
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To decrease the risk of aspiration in patients with respiratory failure who need nutrition support, the healthcare provider should ____.

(Multiple Choice)
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Which substances are nonessential amino acids that are sometimes supplemented in patients undergoing metabolic stress?

(Multiple Choice)
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