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

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Mr. Morgan is an acutely stressed patient in intensive care who is on total parenteral nutrition (TPN). Monitoring Mr. Morgan's _____ levels can help to ensure that excessive amounts of nutrients are not given intravenously.

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(Multiple Choice)
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Correct Answer:
Verified

C

The loss of elastic tissue and destruction of alveolar walls is characteristic of:

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Verified

B

Patients with burns and tissue injuries may require increased_____ due to tissue losses.

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Verified

B

Nutrition care for patients in acute respiratory failure is aimed at providing a low-fat, high-carbohydrate diet.

(True/False)
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The increase in basal metabolic rate that occurs as part of the stress response can be attributed to:

(Multiple Choice)
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In a patient with MODS, which organ(s)is(are)one of the last to fail? ​

(Multiple Choice)
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The first organ(s)to fail in multiple organ dysfunction syndrome (MODS)is/are normally the:

(Multiple Choice)
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Match each nutrition term with the appropriate definition.
Premises:
ARDS
Responses:
respiratory failure triggered by severe lung injury; a medical emergency that causes dyspnea and pulmonary edema and usually requires mechanical ventilation
a disruption in the body's chemical environment due to the effects of disease or injury
a whole-body response to acute inflammation; characterized by raised heart and respiratory rates, abnormal white blood cell counts, and altered body temperature
Correct Answer:
Verified
Premises:
Responses:
ARDS
respiratory failure triggered by severe lung injury; a medical emergency that causes dyspnea and pulmonary edema and usually requires mechanical ventilation
(Matching)
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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 intensive care 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?

(Essay)
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Match each nutrition term with the appropriate definition.
Premises:
wasting
Responses:
abnormal gas exchange between the air and blood, resulting in lower-than-normal oxygen levels and higher-than-normal carbon dioxide levels
respiratory failure triggered by severe lung injury; a medical emergency that causes dyspnea and pulmonary edema and usually requires mechanical ventilation
a disruption in the body's chemical environment due to the effects of disease or injury
Correct Answer:
Verified
Premises:
Responses:
wasting
abnormal gas exchange between the air and blood, resulting in lower-than-normal oxygen levels and higher-than-normal carbon dioxide levels
(Matching)
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The main goal of nutrition therapy for COPD is to:

(Multiple Choice)
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Which symptom of respiratory failure can lead to acidosis?

(Multiple Choice)
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Clinical findings typical of patients undergoing metabolic stress include all of these factors EXCEPT:

(Multiple Choice)
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Why are intestinal tube feedings preferred over gastric feedings for patients with acute respiratory failure?

(Essay)
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Adequate fluid intake will help the person with COPD by:

(Multiple Choice)
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Which action is not attributed to cortisol?

(Multiple Choice)
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The nutrition goals during stress are to provide a diet that meets all of these objectives EXCEPT:

(Multiple Choice)
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What kind of medications might be prescribed for Caroline? Why?

(Essay)
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Medical nutrition therapy for COPD is designed to meet all of these goals EXCEPT:

(Multiple Choice)
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Match each nutrition term with the appropriate definition.
Premises:
acidosis
Responses:
a higher-than-normal metabolic rate
shortness of breath
relating to the entire body
Correct Answer:
Verified
Premises:
Responses:
acidosis
a higher-than-normal metabolic rate
(Matching)
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