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Question 39 Mrs. Brownlee is a 63-year-old female who is admitted for surgical replacement of her
aortic valve. She has a history of symptomatic aortic stenosisr osteoarthritis, and
hypothyroidism. She has always been very thin, and her admitting height and weight
are 5’4" and 110 lbs. In considering her postoperative nutritional needs, the AGACNP
recognizes that: A. Postoperative calorie requirements are higher than baseline because of the
hypermetabolic response to physiologic stress B. The parasympathetic response
to thoracic surgery requires a proportionally greater increase in protein calories C. Calorie requirements will not change postoperatively, as the increased stress
response is balanced by bedrest and decreased activity calorie use. D.Nutritional requirements are individualized postoperatively, and it is not possible to
predict postoperative needs in

 
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