Exam 16: Nutrition in Metabolic and Respiratory Stress

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Mr. Winslett is a COPD patient who is complaining of poor appetite, abdominal discomfort, and bloating. Which suggestion from the nurse is most appropriate for improving his food intake?​

(Multiple Choice)
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Recovery from an injury or illness can be hastened by hypermetabolism and positive nitrogen balance.​

(True/False)
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A patient with lung disease would most likely prevent or reverse loss of muscle mass by decreasing activity levels and incorporating more rest.​

(True/False)
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If stress continues for a long period, growth retardation and illness can occur.​

(True/False)
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Nutrition therapy for management of COPD involves _____.​

(Multiple Choice)
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What describes the immediate care concerns of the clinician during a patient's time of severe stress?​

(Multiple Choice)
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Explain important goals of nutrition therapy among patients undergoing metabolic stress.​

(Essay)
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Explain why enteral feedings are preferred over parenteral feedings in patients with ARDS.​

(Essay)
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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.​

(True/False)
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Matching​ -​wasting

(Multiple Choice)
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A parenteral feeding should supply no more than _____ milligrams of dextrose per kilogram of body weight per minute to prevent hyperglycemia.​

(Multiple Choice)
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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.​

(Multiple Choice)
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Because the immediate stress response can cause a variety of systemic effects, the nurse should closely monitor her patient's _____.​

(Multiple Choice)
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The symptoms associated with the initial inflammatory response are collectively called the systemic inflammatory response syndrome.​

(True/False)
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Overfeeding an acutely stressed patient improves nitrogen balance and decreases lean tissue losses.​

(True/False)
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A COPD patient who complains of abdominal discomfort and dyspnea may benefit from _____.​

(Multiple Choice)
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Matching​ -​acute respiratory distress syndrome (ARDS)

(Multiple Choice)
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In critically ill patients, _____ is used to measure the resting metabolic rate (RMR).​

(Multiple Choice)
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Mrs. White is in the ICU for complications following surgery. She has been diagnosed with sepsis and is on a ventilator. In order to most accurately estimate her energy needs, the nurse recognizes that the preferred method to use is _____.​

(Multiple Choice)
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Laura is a critically ill patient. She is 5'4" tall and weighs 150 pounds. What are Laura's protein needs?​

(Multiple Choice)
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