A nurse is planning care for a client who sustained a major burn over 20% of the body. Which of the following interventions should the nurse include to support the client's nutritional requirements?
Schedule meals at 6-hr intervals.
Maintain calorie intake at 1,500 per day.
Keep a calorie count for foods and beverages.
Provide a low-protein, high-carbohydrate diet.
The Correct Answer is C
A. Scheduling meals at 6-hour intervals is inadequate as clients with major burns require frequent, high-calorie intake.
B. A calorie intake of 1,500 per day is insufficient for burn clients, who require significantly higher caloric intake to support healing.
C. Keeping a calorie count helps ensure the client is meeting their increased nutritional needs for wound healing and recovery.
D. A high-protein, high-carbohydrate diet is necessary, not a low-protein diet, to support tissue repair and metabolic demands.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
A. Belching: A common, benign post-procedure occurrence.
B. Sore throat: Expected due to endoscope insertion.
C. Flatulence: Typically benign and not concerning post-EGD.
D. Abdominal pain: May indicate a perforation or other serious complication and requires immediate evaluation.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
Sepsis: Preterm neonates are at increased risk for infections, including sepsis. Discontinuation of feedings, along with the other signs observed (such as abdominal distention, blood in stool, lethargy, and hypotonia), may suggest the onset of infection, which requires close monitoring.
Hypotension: Preterm neonates are also at risk for hypotension due to immature circulatory systems. The stress of gastrointestinal disturbances, such as abdominal distention and the potential for necrotizing enterocolitis (NEC), can result in decreased perfusion, contributing to hypotension.
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