The nurse is planning care for a postoperative patient. Which of the following should be included when planning for this patient's nutritional needs?
1. Daily caloric intake should be increased.
2. Calories should be limited because of reduced activity.
3. Protein intake should be restricted.
4. Carbohydrate intake should be restricted.
Daily caloric intake should be increased.
Rationale: Major surgery is considered a physiological stress. Physiological stress can lead to hypermetabolism, which is an increase in resting energy needs. Physiological stress also causes hypercatabolism, which is the breakdown of skeletal muscle to meet the body's energy needs. Calories, protein, and carbohydrates should not be restricted.
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