The nurse is planning care for a critically ill client with a fever. For which reasons should the nurse adjust the energy expenditure calculation for this client? (Select all that apply.)

a. Weight
b. Appetite
c. Anorexia
d. Shivering
e. Increased temperature


c. Anorexia , d. Shivering and e. Increased temperature

Both increased temperature and shivering increase the energy expenditure for the critically ill client. Anorexia should also be considered since a decrease in calories can result in a net weight loss. Weight can be used to monitor the balance of energy expenditure and caloric intake. Appetite determines the amount of food consumed, not the needs of the body for energy.
Both increased temperature and shivering increase the energy expenditure for the critically ill client. Anorexia should also be considered since a decrease in calories can result in a net weight loss. Weight can be used to monitor the balance of energy expenditure and caloric intake. Appetite determines the amount of food consumed, not the needs of the body for energy.
Both increased temperature and shivering increase the energy expenditure for the critically ill client. Anorexia should also be considered since a decrease in calories can result in a net weight loss. Weight can be used to monitor the balance of energy expenditure and caloric intake. Appetite determines the amount of food consumed, not the needs of the body for energy.

Nursing

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