A patient who has sustained a head injury has increased nutritional needs related to the
a. decrease in metabolism as a result of coma.
b. decrease in blood sugar from a lack of dietary supplementation.
c. anabolism and wound healing.
d. hypermetabolism and catabolism associated with the injury.
D
Patients with neurologic alterations have increased needs because of hypermetabolism and catabolism after head injury. Poor food intake is related to altered state of consciousness, dysphagia or other chewing or swallowing difficulties, or ileus resulting from spinal cord injury or use of pentobarbital.
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A nurse works in an ICU in which she routinely sees physicians neglecting the care of patients who do not have health insurance
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