Patients who are in shock have special needs, including nutritional needs. What are these special nutritional needs directly related to?
A) The use of albumin as a food source by the body because of the need for increased caloric intake
B) The loss of fluids due to stress ulcers and decreased stomach acids due to increased parasympathetic activity
C) The release of catecholamines that creates an increase in metabolic rate and caloric requirements
D) The increase in gastrointestinal function during shock and the resulting diarrhea
Ans: C
Feedback: Nutritional support is an important aspect of care for patients in shock. Patients in shock may require 3,000 calories daily. This caloric need is directly related to the release of catecholamines and the resulting increase in metabolic rate and caloric requirements.
Option A is a good answer, but all body proteins are used during times of great stress, which results in generalized muscle wasting. Option B is incorrect; the special nutritional needs of shock are not related to increased parasympathetic activity but related to increased sympathetic activity. Option D is incorrect; gastrointestinal function does not increase during shock; it decreases.
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