When caring for a febrile critically ill client, it is important to recognize the need to adjust the energy expenditure calculation to compensate for increased energy demands resulting from: (Select all that apply.)
1. Increased temperature.
2. Shivering.
3. Anorexia.
4. Weight.
5. Appetite.
1, 2, 3
Rationale: Both increased temperature and shivering increase the energy expenditure for the critically ill client. Anorexia should also be considered since a decrease in calories can result in a net weight loss. Weight can be used to monitor the balance of energy expenditure and caloric intake. Appetite determines the amount of food consumed, not the needs of the body for energy.
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