Author Question: Nurse R is caring for a patient in the intensive care unit who was admitted following a motor ... (Read 72 times)

go.lag · **on:** Aug 2, 2018

Nurse R is caring for a patient in the intensive care unit who was admitted following a motor vehicle accident with cuts, abrasions, and several broken bones.

The client is on a regular diet, but she is concerned that there may not be adequate calories because of a lack of appetite. This is a concern because inadequate calories could: 1. Result in the loss of lean body mass, which is associated with increased complications, infection, and poor wound healing.
2. Cause fatigue, which would limit the client's ability to attend physical therapy.
3. Contribute to anemia and result in hypoxia in the damaged cells.
4. Result in hypoglycemia leading to polyuria, polydypsia, and polyphagia.

Question 2

Bulimia nervosa (BN) is an eating disorder where nutritional counseling focuses on identifying and correcting food misinformation and fears. Which of the following is true about bulimia? Select all that apply.

A) Bulimics recognize the behavior is abnormal.
B) Bulimics lack of sense of control over eating.
C) Bulimics experience weight fluctuations and tend to be of normal or slightly above normal weight.
D) Bulimia has a higher mortality rate than anorexia nervosa.
E) Bulimia is harder to treat than anorexia.

parker125 · **Reply #1 on:** Aug 2, 2018

Answer to Question 1

1
Rationale: During times of physiologic stress, including recovering from physical trauma, the demand for glucose increases significantly resulting in the need for increased energy. Lack of oral intake could result in catabolism of fats and proteins. Loss of even 10 of lean body mass can contribute to poor health outcomes and increased morbidity. Fatigue, hypoglycemia, and anemia may be present following trauma, but may be the result of causes other than malnutrition.

Answer to Question 2

A, B, C
Feedback:
BN is characterized by individuals who recognize their behavior is abnormal, but they lack the self-control regarding their eating habits. They also experience weight fluctuations and tend to be of normal or slightly above normal weight. Bulimia has a lower mortality rate and is easier to treat than anorexia nervosa.