Which breakfast selection should the nurse encourage a client to eat who is hospitalized with partial-thickness and full-thickness burns to both legs?

Whole wheat cereal with milk, bacon, and coffee.

Pancakes, bacon, fruit, and milk.

Scrambled eggs, sausage, toast, and orange juice.

Bowl of hot oatmeal with milk, fruit, and lemon tea.

Answer and Explanation

The Correct Answer is C

A. Whole wheat cereal with milk, bacon, and coffee is incorrect. While it contains some protein (milk and bacon), it lacks adequate protein and calorie density needed for burn healing.
B. Pancakes, bacon, fruit, and milk is incorrect. While this meal provides carbohydrates and some protein, it does not offer enough protein for optimal wound healing.
C. Scrambled eggs, sausage, toast, and orange juice is correct. Burn patients require high-protein and high-calorie meals to support tissue repair and metabolic demands. Eggs and sausage provide high-quality protein, while toast and juice add necessary carbohydrates for energy.
D. A bowl of hot oatmeal with milk, fruit, and lemon tea is incorrect. Although this meal has carbohydrates and some protein, it is not protein-dense enough for burn recovery.

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Correct Answer is D

Explanation

A. Urinary ketones are incorrect. Urinary ketones are more relevant in clients with diabetes or starvation states, but monitoring capillary glucose is more important in clients on TPN, as they may experience fluctuations in blood sugar levels.
B. Serum protein is incorrect. While serum protein is important for assessing nutritional status, capillary glucose is more critical for monitoring during TPN administration.
C. Serum osmolarity is incorrect. Serum osmolarity is important to assess fluid and electrolyte balance, but capillary glucose is more frequently monitored due to the risk of hyperglycemia in TPN patients.
D. Capillary glucose is correct. TPN contains high levels of glucose, and monitoring capillary glucose is critical to detect hyperglycemia and adjust the infusion rate or insulin therapy accordingly.

A. Provide assistance in planning high protein, low carbohydrate meals. B. Discuss ideas in developing an exercise schedule. C. Review the client's dietary intake for the past week. D. Instruct the client to eat 3 well-balanced meals daily.

Correct Answer is B

Explanation

A. Provide assistance in planning high protein, low carbohydrate meals. While dietary changes may be helpful for weight loss, focusing solely on macronutrient ratios like high protein and low carbohydrate may not be the most effective approach. Moreover, without addressing physical activity, the client may not achieve their weight loss goals.
B. Discuss ideas in developing an exercise schedule. Exercise is a crucial component of weight loss and weight management. By discussing and developing an exercise schedule tailored to the client's preferences and abilities, the nurse can help the client achieve their weight loss goals.
C. Review the client's dietary intake for the past week. Reviewing dietary intake can provide valuable information about the client's current eating habits and areas for improvement. However, without addressing physical activity, it may not be sufficient to help the client achieve weight loss.
D. Instruct the client to eat 3 well-balanced meals daily. While eating balanced meals is

important for overall health, simply instructing the client to eat three meals daily may not be sufficient for weight loss, especially if the meals are not portion-controlled or if the client's caloric intake exceeds their energy expenditure.

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Which breakfast selection should the nurse encourage a client to eat who is hospitalized with partial-thickness and full-thickness burns to both legs?

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Naxlex Comprehensive Predictor Exams

While caring for a client receiving total parenteral nutrition (TPN), it is most important for the nurse to monitor which of the client's laboratory values?

Correct Answer is D

Explanation

A client who has a body mass index (BMI) of 29 kg/m2 expresses a desire to lose weight. Which action should the nurse implement? Reference Range: Body Mass Index (BMI) Overweight [25.0 to 29.9 kg/m2]

Correct Answer is B

Explanation

Which breakfast selection should the nurse encourage a client to eat who is hospitalized with partial-thickness and full-thickness burns to both legs?

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