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 B
Explanation
A. 1 cup cooked quinoa: Quinoa is a healthy grain that contains potassium, but the amount is moderate compared to other foods. One cup provides around 318 mg, which is beneficial but not the highest among the options listed. It is not considered a high-potassium food source in comparison to dried fruits.
B. 1 cup dried apricots: Dried apricots are one of the most potassium-rich foods available. One cup contains over 1,500 mg of potassium, making it a top dietary source. This makes them an excellent choice when educating clients on increasing potassium intake.
C. 1 cup cheddar cheese: Cheddar cheese contains only about 200 mg of potassium per cup. While it provides other nutrients like calcium and protein, it is not a good source of potassium. Additionally, it is often high in sodium, which can be problematic for some clients.
D. 1 cup brown rice: Brown rice provides approximately 150 mg of potassium per cup. While it is a nutritious whole grain with fiber and complex carbohydrates, its potassium content is relatively low compared to dried fruits such as apricots.
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"E"}
Explanation
- Anemia: The client's hemoglobin level is 10.1 g/dL, which is below the normal reference range of 12 to 16 g/dL for females. This, along with the hematocrit being slightly low at 36%, indicates anemia, which can contribute to symptoms like fatigue.
- Hypertension: The client's blood pressure is 136/85 mm Hg, which falls into the elevated to stage 1 hypertension range. Combined with a BMI of 38.8, which classifies the client as obese, she is at increased risk of developing hypertension over time.
- Hyperthyroidism is unlikely given her normal TSH level and the symptom of fatigue, which is more consistent with hypothyroidism or anemia.
- Malnutrition is not indicated, as the client is overweight and has no signs of nutrient deficiencies aside from anemia.
- Leukemia is unlikely given her normal WBC and platelet counts, and there are no associated symptoms like bruising, frequent infections, or severe fatigue beyond what's explained by anemia.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
