A nurse is planning care for a client who sustained a major burn over 20% of the body. Which of the following interventions should the nurse include to support the client's nutritional requirements?
Schedule meals at 6-hr intervals.
Maintain calorie intake at 1,500 per day.
Keep a calorie count for foods and beverages.
Provide a low-protein, high-carbohydrate diet.
The Correct Answer is C
A. Scheduling meals at 6-hour intervals is inadequate as clients with major burns require frequent, high-calorie intake.
B. A calorie intake of 1,500 per day is insufficient for burn clients, who require significantly higher caloric intake to support healing.
C. Keeping a calorie count helps ensure the client is meeting their increased nutritional needs for wound healing and recovery.
D. A high-protein, high-carbohydrate diet is necessary, not a low-protein diet, to support tissue repair and metabolic demands.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Battery involves actual physical contact without consent.
B. Negligence refers to failing to provide appropriate care, leading to harm.
C. Assault occurs when a person is threatened with harm or offensive contact, creating fear, even if no physical contact occurs. Telling the client that a catheter will be inserted without consent can be perceived as a threat.
D. Libel is a false written statement that damages someone’s reputation.
Correct Answer is B
Explanation
A. Flumazenil is used for benzodiazepine overdose, not opioid overdose.
B. Naloxone is the antidote for opioid overdose and is indicated here due to the low respiratory rate and recent administration of hydromorphone.
C. Acetylcysteine is used for acetaminophen overdose, not opioids.
D. Protamine is used to reverse heparin, not opioids.
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