The proton pump inhibitor Esomeprazole (Nexium) is prescribed for a client who incurred extensive burn injuries 5 days ago. Which nursing assessment would best evaluate the effectiveness of the drug?

Choice A reason: While administering vitamins and minerals is important, it does not provide complete nutrition, especially for a client with such extensive burns and absent bowel sounds.

Choice B reason: This is the correct choice because total parenteral nutrition (TPN) provides complete nutrition intravenously, bypassing the gastrointestinal tract, which is necessary when bowel sounds are absent, indicating a non-functioning GI system.

Choice C reason: Enteral feedings require a functioning GI tract. With absent bowel sounds, this indicates a high risk for complications like aspiration or feeding intolerance.

Choice D reason: Encouraging oral intake is not feasible for a client with extensive burns and absent bowel sounds due to the high risk of inadequate intake and aspiration.

Choice A reason: Separation anxiety is common in early childhood and typically resolves as the child develops, usually by around age 2 or 3.However, it can also be present in school-age children, especially if it develops into separation anxiety disorder.

Choice B reason: This is not typically included in teaching about separation anxiety. Detachment might be a response to prolonged separation or hospitalization, but it is not a stage of separation anxiety.

Choice C reason:

While kicking a stranger can be a manifestation of separation anxiety, it’s more constructive to focus on common symptoms such as excessive worry when apart from home or family, or panic and fear at the time of separation

Choice D reason: Separation anxiety that is severe and persistent can lead to challenges in adaptability and functioning. It’s important for caregivers to recognize symptoms and seek help if the anxiety interferes with daily life.