Author Question: The best way to determine energy needs of stressed patients is to use a. indirect calorimetry. ... (Read 102 times)

Engineer

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The best way to determine energy needs of stressed patients is to use
 
  a. indirect calorimetry.
  b. the Ireton-Jones formula.
  c. the Dietary Reference Intakes.
  d. patient hunger and appetite cues.

Question 2

What is an indication for use of parenteral nutrition (PN) in a client?
 
  A) Recovering stroke victim
  B) Drastic weight loss measures
  C) Inadequate oral intake expected over a 7- to 10-day period
  D) Preparing for major surgery on the digestive system



laurnthompson

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Answer to Question 1

A
Energy needs of stressed patients are highly individual; the most accurate way to measure them is using indirect calorimetry. Formulas such as Ireton-Jones are used when indirect calorimetry is not available, but their results are less accurate. The Dietary Reference Intakes provide estimates of energy needs for health populations but do not account for individual differences or for stress. Stressed patients often have very poor appetites despite high energy needs.

Answer to Question 2

C
Feedback:
PN should be used only when an enteral intake is inadequate or contraindicated and when the duration of nutritional support is expected to be 7 days or more.



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