You are caring for a trauma patient in the ICU who is in shock. The patient is a 47-year-old, obese male who was in a motor vehicle accident. You know that patients in shock require excess energy requirements
What would be the main concern in meeting this patient's elevated energy requirements?
A) Loss of adipose tissue
B) Loss of skeletal muscle
C) Inability to convert adipose tissue to energy
D) Inability to maintain normal body mass
Ans: B
Feedback: Nutritional energy requirements are met by breaking down lean body mass. In this catabolic process, skeletal muscle mass is broken down even when the patient has large stores of fat or adipose tissue. Loss of skeletal muscle greatly prolongs the patient's recovery time. Loss of adipose tissue, the inability to convert adipose tissue to energy, or the inability to maintain normal body mass are not main concerns in meeting nutritional energy requirements for this patient.
You might also like to view...
The nurse is assessing an 11-year-old patient receiving conscious sedation to set a fractured leg. Which assessment finding primarily indicates a need for respiratory support?
A) Coughing B) Sneezing C) Increased secretions D) Absent gag reflex
A high school guidance counselor is working with a student who wants to attend a baccalaureate nursing school. The counselor explains that the main considerations when choosing a nursing program are (Select all that apply.)
a. accessibility. b. cost. c. location. d. program length. e. quality.
The nurse is caring for a patient who has diabetes and complains of chronic burning leg pain even when taking oxycodone (OxyContin) twice daily
When reviewing the orders, which prescribed medication is the best choice for the nurse to administer as an adjuvant to decrease the patient's pain? a. Aspirin (Ecotrin) b. Celecoxib (Celebrex) c. Amitriptyline (Elavil) d. Acetaminophen (Tylenol)
The nurse is reviewing the following vital signs of a client who is lying in bed. Which of the following would the nurse identify as being abnormal?
A) Oral temperature—98.4oF B) Radial pulse—78 beats/minute C) Respirations—28 breaths/minute D) Blood pressure—116/68 mm Hg