The nurse will plan which interventions to reduce metabolic demands in a patient with multiple organ dysfunction syndrome (MODS)?
1. Provide skin care and positioning to prevent breakdown.
2. Use meticulous hand hygiene and aseptic technique for procedures.
3. Place the patient on a high-fat diet to increase energy.
4. Administer antipyretics for fever
4
Rationale 1: Skin care and positioning are essential to prevent breakdown and further entry of bacteria into the body, but they would not reduce oxygen demands.
Rationale 2: Asepsis and hand washing are essential to prevent further infection but would not reduce oxygen demand.
Rationale 3: A high-fat diet is not indicated in shock; however, attention to nutrition and adequate calories is necessary.
Rationale 4: Reducing fever will decrease metabolic rate and oxygen demand.
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