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

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

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Adequate fluid intake will help the person with COPD by:

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pulmonary edema is present, a patient requires:

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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. -a.Estimate Caroline's energy needs using the Ireton-Jones equation: 1925 + [5 × wt (kg)] - [10 × age (yr)] + (281 × sex) + (292 × trauma) + (851 × burn). You must insert the appropriate numbers for gender and trauma. b.Estimate Caroline's protein needs based on mild to moderation lung injury.

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Describe the symptoms and complications associated with SIRS.

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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:

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adverse effects of cortisol in prolonged stress include all of the following except:

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Smoking is the primary risk factor in most cases of COPD.

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Describe the diet-drug interactions that may be experienced by a patient using bronchodilators.

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Which of the following methods was developed for estimating energy needs in a ventilator-dependent patient with traumatic and/or burn injuries?

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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. -Estimate Kati's energy needs using the Ireton-Jones equation: 1925 + [5 wt (kg)] - [10 age (yr)] + (281 sex) + (292 trauma) + (851 burn).You must insert the appropriate numbers for gender, trauma, and burn.

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Nutrition support plays a role in the therapy for MODS in all of the following ways except:

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Protein synthesis is inhibited by excess production of:

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