Exam 24: Energy- and Protein-Modified Diets for Metabolic and Respiratory Stress

Case Study Questions Use the following case study to answer questions 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. -If Kati's enteral feeding is not providing adequate energy and protein to meet her nutritional needs, she will experience:

Which of the following is not a cause of poor food intake in persons with severe COPD?

Which of the following amino acids has been shown to have beneficial effects on critically ill patients?

is a 59-year-old patient who suffered multiple broken bones in a motor vehicle accident.She weighs 138 pounds.The nurse chooses a protein factor of 1.5 g/kg to estimate her protein needs and calculates that Mary's protein requirements are approximately _____ grams per day.

Clinical findings typical of patients undergoing metabolic stress include all of the following except:

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

Which of the following compounds is produced by white blood cells and participates in the inflammatory process?

Differentiate between how energy needs are estimated for a non-obese patient versus an obese patient.

first organ to fail in MODS is normally the:

1.Describe the body's hormonal responses to stress.

increase in basal metabolic rate as a part of the stress response can be attributed to:

Case Study Questions Use the following case study to answer questions 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. -As a result of the acute-phase response, you would expect Kati's plasma concentrations of _____ to decrease.

energy expenditure of acutely stressed patients may be raised due to all of the following except:

Case Study Caroline is a 33-year-old female who was struck by a motor vehicle while she was bicycling.She suffered head and chest trauma as well as multiple broken bones.Caroline is in a medically induced coma in the ICU unit following surgery and requires mechanical ventilation due to ARDS.She is being fed enterally.Her mother reports that she is 5'7" tall and weighs approximately 140 pounds. -Why is Caroline likely to experience negative nitrogen balance despite being provided with adequate protein?

Medical nutrition therapy for COPD involves all of the following except:

Case Study Caroline is a 33-year-old female who was struck by a motor vehicle while she was bicycling.She suffered head and chest trauma as well as multiple broken bones.Caroline is in a medically induced coma in the ICU unit following surgery and requires mechanical ventilation due to ARDS.She is being fed enterally.Her mother reports that she is 5'7" tall and weighs approximately 140 pounds. -What type of enteral formula is best for Caroline at this time?

Estimate the energy needs of a patient with sepsis who weighs 180 pounds.

Which amino acid may have beneficial effects on the immune response of postoperative patients?

critically ill patient with ARDS is on a tube feeding and requires a fluid restriction.The nurse understands that an appropriate enteral formula will be:

Excessive kcalorie intake in COPD patients may: