The intensive care nurse caring for a patient in shock is planning assessments and interventions related to the patient's nutritional needs. What physiologic process contributes to these increased nutritional needs?
A) The use of albumin as an energy source by the body because of the need for increased adenosine triphosphate (ATP)
B) The loss of fluids due to decreased skin integrity and decreased stomach acids due to increased parasympathetic activity
C) The release of catecholamines that creates an increase in metabolic rate and caloric requirements
D) The increase in GI peristalsis during shock and the resulting diarrhea
Ans: C
Feedback:
Nutritional support is an important aspect of care for patients in shock. Patients in shock may require 3,000 calories daily. This caloric need is directly related to the release of catecholamines and the resulting increase in metabolic rate and caloric requirements. Albumin is not primarily metabolized as an energy source. The special nutritional needs of shock are not related to increased parasympathetic activity, but are instead related to increased sympathetic activity. GI function does not increase during shock.
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