A nurse is caring for a client who has moderate partial-thickness burns over 30% of their total body surface area. Which of the following actions should the nurse take?
Initiate a low-protein diet.
Provide a vitamin C supplement.
Administer a potassium-sparing diuretic.
Limit zinc intake.
The Correct Answer is B
A. Initiate a low-protein diet: A low-protein diet is inappropriate for burn clients, who require increased protein to support wound healing, tissue regeneration, and immune function. Protein needs are significantly elevated in clients with burns.
B. Provide a vitamin C supplement: Vitamin C supports collagen synthesis, promotes wound healing, and enhances immune function. Clients with partial-thickness burns benefit from supplementation to aid skin repair and recovery.
C. Administer a potassium-sparing diuretic: Diuretics are generally avoided in the early stages of burn care due to fluid shifts and risk of hypovolemia. Fluid resuscitation is prioritized to stabilize hemodynamics and maintain organ perfusion.
D. Limit zinc intake: Zinc plays a critical role in tissue healing and immune support. Limiting zinc would be counterproductive; burn clients often require additional zinc to meet increased metabolic demands.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. 120 mL (4 oz) sugar-free soda: Sugar-free soda does not contain carbohydrates or glucose, which are necessary to treat hypoglycemia. It is sweetened with artificial sweeteners that do not raise blood glucose levels. Offering this would not correct a hypoglycemic episode and could result in worsening symptoms.
B. Three saltine crackers:Three saltine crackers contain only about 6–7 grams of carbohydrates, which is not enough to effectively manage mild hypoglycemia. A total of 15 grams of fast-acting carbohydrates is needed to raise blood glucose to a safe level. While crackers are useful for long-term blood sugar stabilization, they are not sufficient for initial correction.
C. 120 mL (4 oz) fruit juice: Fruit juice is a fast-acting carbohydrate and is quickly absorbed into the bloodstream, making it effective for treating mild hypoglycemia. Four ounces of juice typically contain approximately 15 grams of carbohydrates, meeting the recommended amount for correcting low blood glucose promptly.
D. Three pieces of hard candy: While hard candy can be used to treat hypoglycemia, three small pieces usually provide only about 9–12 grams of carbohydrates, depending on the brand and size. This may be inadequate to raise blood glucose effectively. The client would likely need 4–5 pieces to meet the 15-gram threshold.
Correct Answer is A
Explanation
A. Cheese: Cheese is a developmental and nutritious snack for a 30-month-old toddler. It provides essential nutrients such as calcium and protein, which support bone development and growth. Cheese is also soft in texture and easy to chew, minimizing the risk of choking. Additionally, it can be cut into small, manageable pieces that are safe for toddlers to eat independently.
B. Grapes: Whole grapes are a choking hazard for children under the age of 4 due to their round shape and slippery texture. Even though they are nutritious, they should be cut into small, lengthwise pieces before offering them to toddlers. Offering whole grapes to a 30-month-old toddler puts the child at significant risk of aspiration or airway obstruction.
C. Plain popcorn: Popcorn is not safe for toddlers because it poses a high risk of choking. Its texture can be difficult for young children to chew thoroughly, and unpopped kernels or sharp edges can block or irritate the airway. Health authorities recommend avoiding popcorn until children are older and can chew food more effectively.
D. Raw carrots: Raw carrots are firm and hard to chew, making them a common choking hazard for toddlers. Unless they are cooked until soft or grated finely, they should not be given to young children. A 30-month-old toddler may not yet have the molar teeth or chewing coordination needed to handle raw vegetables safely.
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