The nurse in the ICU is caring for a 47-year-old, obese male patient who is in shock following a motor vehicle accident. The nurse is aware that patients in shock possess excess energy requirements
What would be the main challenge in meeting this patient's elevated energy requirements during prolonged rehabilitation?
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, and the inability to maintain normal body mass are not main concerns in meeting nutritional energy requirements for this patient.
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