Author Question: In planning to meet the nutritional needs of a critically ill client in the intensive care unit, ... (Read 26 times)

Starlight · **on:** Jul 23, 2018

In planning to meet the nutritional needs of a critically ill client in the intensive care unit, which factor will increase the client's basal metabolic rate?

A) Infection
B) Advanced age
C) Prolonged fasting
D) Long periods of sleep

Question 2

A client is interested in losing 15 pounds, and she informs the nurse she is counting her calorie intake each day. The client has a goal of losing one pound a week until she reaches her goal.

The client asks the nurse how many calories she should decrease daily to lose a pound a week. What is the nurse's best response?

A) 500 calories/day
B) 200 calories/day
C) 300 calories/day
D) 400 calories/day

elyse44 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: A
Factors that increase a person's basal metabolic rate (BMR) include growth, infections, fever, emotional tension, extreme environmental temperatures, and elevated levels of certain hormones (epinephrine and thyroid hormones). Aging, prolonged fasting, and sleep all decrease BMR.

Answer to Question 2

Ans: A
To lose 1 pound (0.45 kg) in a week, daily calorie intake should be decreased by 500 calories a day. One pound of body fat equals about 3,500 calories; 3,500 calories divided by 7 days = 500 calories/day.