A nurse is providing teaching to the parent of a toddler about appropriate snacks. Which of the following foods should the nurse include?

Choice A reason:

A decrease in heart rate is a key indicator of adequate fluid resuscitation in burn patients. When a patient is adequately hydrated, the heart does not need to work as hard to pump blood, leading to a lower heart rate. This is because fluid resuscitation helps restore blood volume, improving cardiac output and reducing the strain on the heart. Normal heart rate ranges for adults are typically between 60-100 beats per minute.

Choice B reason:

While blood pressure is an important parameter to monitor, a decrease in blood pressure is not an indication of adequate fluid replacement. In fact, adequate fluid resuscitation should help maintain or increase blood pressure to normal levels. Low blood pressure could indicate hypovolemia or inadequate fluid resuscitation3. Normal blood pressure ranges are generally considered to be around 120/80 mmHg.

Choice C reason:

A decrease in urine output is not a sign of adequate fluid resuscitation. On the contrary, adequate fluid replacement should result in an increase in urine output as the kidneys receive sufficient blood flow to filter and excrete waste products. Urine output is a critical marker for assessing fluid balance, with normal output being about 0.5-1 mL/kg/hr.

Choice D reason:

A decrease in weight is not an immediate indicator of adequate fluid resuscitation. Weight changes can occur over a longer period and are influenced by various factors, including fluid shifts, edema, and overall fluid balance. In the acute phase of burn management, more immediate indicators like heart rate and urine output are more reliable.

Choice A reason:

Walking in front of the client to guide her in moving the walker is not recommended. The nurse should walk beside or slightly behind the client to provide support and ensure safety. Walking in front can obstruct the nurse’s view of the client’s movements and make it difficult to assist if the client loses balance.

Choice B reason:

Ensuring that the upper bar of the walker is level with the client’s waist is incorrect. The correct height for the walker is when the client’s elbows are slightly bent (about 15-30 degrees) when holding the handgrips. This allows for better control and reduces the risk of falls.

Choice C reason:

Having the client move one leg forward with the walker is not the correct technique. The client should first lift the walker and place it a short distance ahead, then step forward with the weaker leg first, followed by the stronger leg. This method provides better stability and support.

Choice D reason:

Checking that the client lifts the walker and then places it down in front of her is the correct action. This ensures that the walker is used properly, providing maximum support and reducing the risk of tripping or falling. The client should lift the walker, move it forward, and then step into the walker area.