The nurse is planning care for a postoperative patient who has just resumed a regular diet. What should the nurse include when planning for this patient's nutritional needs?
1. Protein intake should be restricted.
2. Calories should be limited because of reduced activity.
3. Carbohydrate intake should be restricted.
4. Daily caloric intake should be increased.
4
Rationale 1: Protein should not be restricted during times of physiological stress.
Rationale 2: Calories should not be limited during times of physiological stress.
Rationale 3: Carbohydrates should not be restricted during times of physiological stress.
Rationale 4: Major surgery is considered a physiological stress. Physiological stress can lead to hypermetabolism (increase in resting energy needs) as well as hypercatabolism (breakdown of skeletal muscle to meet the body's energy needs). Calories, protein, and carbohydrates should not be restricted.
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