Ati rn 402 med surg proctored exam
A patient diagnosed with Systemic Inflammatory Response Syndrome (SIRS) and progressing toward Multi-Organ Dysfunction Syndrome (MODS) is being closely monitored in the intensive care unit. Due to decreased perfusion related to these conditions, there is an increased risk for which of the following gastrointestinal complications?
Explanation & Rationale
A. Enhanced gastrointestinal motility and digestion: GI motility is actually decreased due to hypoperfusion and stress response. B. Increased nutrient absorption and intestinal fortification: Opposite is true-blood flow is diverted from the gut, leading to mucosal ischemia and impaired absorption. C. Ulceration, GI bleeding, and bacterial translocation: Decreased gut perfusion compromises the mucosal barrier, increasing the risk of stress ulcers, bleeding, and translocation of gut bacteria into systemic circulation, worsening sepsis or MODS. D. Reduced vulnerability to gastrointestinal infections: Immunocompromise and mucosal breakdown increase susceptibility to GI infections.
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