A patient admitted for a gunshot wound to the leg and multiple abdominal stab wounds is admitted to the intensive care unit after surgery
Which of the following might the nurse observe that would impact this patient's nutritional needs at this time? 1. increase in body temperature
2. respiratory rate of 22 per minute and regular
3. elevated blood glucose level
4. blood pressure 130/84 mm Hg
3
Rationale: The first 24 hours after a body injury, the body responds with a drop in body temperature and an increase in mobilization of carbohydrates and lipids. Glucose production increases in efforts to support wound healing. The body also responds by decreasing the amount of insulin produced. Because of these bodily responses, the nurse will most likely observe an elevated blood glucose level which will impact the patient's nutritional needs at this time. Body temperature will respond with dropping and not increasing. The respiratory rate of 22 per minute and regular will not negatively impact this patient's nutritional needs. A blood pressure of 130/84 mm Hg might be a normal blood pressure for the patient and will not necessarily impact this patient's nutritional needs.
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