A nurse is educating caregivers about dietary management for a child who has burn injuries. Which of the following recommendations should the nurse provide?

Decrease fluid intake to avoid volume overload.

Encourage a high protein diet for wound healing.

Suggest a lower calorie diet due to decreased activity.

Increase carbohydrate intake for energy.

Answer and Explanation

The Correct Answer is B

A. Fluid intake should not be decreased; adequate hydration is important for burn patients.

B. A high-protein diet is necessary for wound healing in burn patients as protein is essential for tissue repair and immune function.

C. A lower-calorie diet is not appropriate for burn patients, who often have increased metabolic needs.

D. While carbohydrates are important for energy, protein is the primary focus for wound healing.

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Correct Answer is B

Explanation

A. Typically, infants are kept NPO for 1-2 hours before a lumbar puncture, not 6 hours.

B. Holding the infant’s chin to the chest and knees to the abdomen during the lumbar puncture is the correct positioning. This position opens the intervertebral spaces and allows for easier access to the spinal cord.

C. Eutectic mixture of lidocaine and prilocaine (EMLA) cream should be applied 60 minutes before the procedure for effective local anesthesia, not 15 minutes.

D. After the procedure, the infant should be placed flat to avoid pressure on the lumbar area, not in an infant seat. The infant should be positioned on their back or side to prevent strain.

A. Have the child sit with her head tilted forward and hold pressure on her nose for 10 min. B. Apply ice at the base of the nose for 5 min and then check for bleeding. C. Place the child in a sitting position with her head tilted back. D. Place the child in a supine position with a pillow under her back.

Correct Answer is A

Explanation

A. The child should sit upright with the head tilted forward to prevent blood from flowing down the throat, which could cause choking or aspiration. Applying pressure on the nostrils for 10 minutes is an effective method for stopping most nosebleeds.

B. While ice may help constrict blood vessels, it is not the primary intervention for a nosebleed. Holding pressure is more effective.

C. Tilting the head back can cause blood to flow into the throat and potentially lead to choking or vomiting.

D. Lying the child supine increases the risk of blood flowing into the throat and airway, making it unsafe.

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A nurse is educating caregivers about dietary management for a child who has burn injuries. Which of the following recommendations should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is A

Explanation

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