The nurse is assisting a burn-injured patient to select foods that promote wound healing. Which statement indicates the knowledge of the nurse regarding nutritional goals for this patient?

Avoid foods that have saturated fats. Fats interfere with the ability of the burn wound to heal

Select foods that have lots of fiber, such as whole grains and fruits. These will promote removal of toxins from the body that interfere with healing.

Choose foods that are high in protein, such as meat, eggs and beans. These help the burns to heal

It is important to choose foods like bread and pasta that are high in carbohydrates. These foods will provide energy and help with healing faster

Answer and Explanation

The Correct Answer is C

A. Saturated fats do not directly interfere with wound healing. While excessive intake of unhealthy fats should be minimized for overall health, fats themselves are not the primary focus when promoting wound healing in burn patients.

B. Fiber is important for digestive health but does not directly affect wound healing in burn patients. Protein and calories are more important for supporting tissue repair and overall healing.

C. Protein is essential for tissue repair, wound healing, and immune function, making it a priority nutrient for burn patients. High-protein foods support the increased metabolic demands of healing and help rebuild damaged tissues.

D. While carbohydrates are important for energy, protein plays a more significant role in wound healing. A balance of carbohydrates and protein is ideal, but protein is the primary nutrient needed for tissue repair in burn patients.

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Correct Answer is C

Explanation

A. Decreased blood pressure: Dopamine is used to improve cardiac output by increasing heart rate and contractility, which should increase blood pressure. A decreased blood pressure would suggest that the medication is not effective or is causing adverse effects.

B. Decreased blood glucose level: Dopamine does not have a direct role in decreasing blood glucose levels. In fact, it may lead to increased glucose levels due to stress or the body’s response to the medication.Decreased blood glucose is not an indicator of effectiveness.

C. Increased urine output: Dopamine improves renal perfusion by increasing cardiac output, leading to improved kidney function and increased urine output. An increase in urine output is a positive sign that the medication is effectively improving cardiac output and renal perfusion.

D. Increased respiratory rate: An increased respiratory rate is not an indicator of dopamine effectiveness. The primary indicator of dopamine effectiveness is improved renal function, which manifests as increased urine output.

A. Assess the client's airway and any spontaneous respirations B. Suction the client's mouth thoroughly C. Elevate the client's head of bed to 30 degrees D. Prepare the client for reintubation immediately

Correct Answer is A

Explanation

A. Assess the client's airway and any spontaneous respirations: This is the first action. The nurse needs to check if the client can breathe on their own and ensure the airway is not obstructed. If the client is not able to breathe adequately, reintubation or other interventions can be initiated.

B. Suction the client's mouth thoroughly: Suctioning the mouth may be necessary if there is any visible obstruction or secretions, but airway assessment takes precedence. Suctioning would only be performed if the airway is compromised or secretions are present.

C. Elevate the client's head of bed to 30 degrees: While elevating the head of the bed may help in some situations, it is not the priority when the endotracheal tube is removed. The primary focus should be on assessing the airway and ensuring that the client can breathe adequately.

D. Prepare the client for reintubation immediately: Reintubation might be required if the client's airway cannot be maintained, but the nurse should first assess the client's ability to breathe and whether reintubation is necessary.

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The nurse is assisting a burn-injured patient to select foods that promote wound healing. Which statement indicates the knowledge of the nurse regarding nutritional goals for this patient?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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