A client recovering from injuries sustained in a motor vehicle crash is on a regular diet but has no appetite and is not eating. What could be the result of this client taking in an inadequate amount of calories?
a. Anemia and result in hypoxia in the damaged cells
b. Hypoglycemia leading to polyuria, polydipsia, and polyphagia
c. Fatigue which would limit the client's ability to attend physical therapy
d. Loss of lean body mass which could lead to complications, infection, and poor wound healing
d. Loss of lean body mass which could lead to complications, infection, and poor wound healing
During times of physiologic stress, including recovering from physical trauma, the demand for glucose increases significantly resulting in the need for increased energy. Lack of oral intake could result in catabolism of fats and proteins. Loss of even 10% of lean body mass can contribute to poor health outcomes and increased morbidity. Fatigue, hypoglycemia, and anemia may be present following trauma, but may be the result of causes other than malnutrition.
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