The nurse is reviewing the care plan with the dietician or nutritionist for a burn client. The nurse knows which of the following factors contribute to the increased metabolic demands in burn patients?

Restricted movement

Reduced pain medications

Decreased fluid resuscitation

inflammation caused by the burn

Answer and Explanation

The Correct Answer is D

A. Restricted movement:
May occur due to pain or immobilization but does not increase metabolic demand significantly.

B. Reduced pain medications:
May increase discomfort but does not directly increase the metabolic rate.

C. Decreased fluid resuscitation:
Leads to hypoperfusion and shock, not increased metabolism.

D. Inflammation caused by the burn:
Correct. Severe burns trigger a hypermetabolic response due to systemic inflammation, catecholamine release, and tissue repair demands.

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Correct Answer is D

Explanation

A. "A cannula will be inserted into the bone to infuse fluids and antibiotics.":
Describes intraosseous access, not escharotomy.

B. "An escharotomy surgically removes dead tissue.":
That is debridement, not escharotomy.

C. "A piece of skin will be removed and grafted over the burned area.":
Describes a skin graft, not escharotomy.

D. "Large incisions will be made in the burned tissue to improve circulation.":
Escharotomy involves cutting through the burned eschar to relieve pressure and restore circulation, especially in circumferential full-thickness burns.

A. Cool the burn with ice water. B. Administer opioid analgesics. C. Administer systemic antibiotics. D. Keep extremities elevated. E. Remove all sheets and coverings.

Correct Answer is ["B","C","D"]

Explanation

A. Cool the burn with ice water:
Never use ice on burns. It can cause vasoconstriction and worsen tissue injury.

B. Administer opioid analgesics:
Severe pain is common in burn injuries. IV opioids are preferred for rapid onset and titration.

C. Administer systemic antibiotics:
Burn injuries compromise the skin barrier, increasing the risk of infection. Systemic antibiotics may be necessary to prevent or treat infections.

D. Keep extremities elevated:
Elevating extremities helps reduce edema and improve venous return.

E. Remove all sheets and coverings:
Sheets may provide warmth and protection. Removing them indiscriminately may worsen hypothermia or cause further trauma to the skin.

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The nurse is reviewing the care plan with the dietician or nutritionist for a burn client. The nurse knows which of the following factors contribute to the increased metabolic demands in burn patients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with severe burns to both lower extremities. The client is scheduled for an escharotomy and wants to know what the procedure involves. Which of the following statements is appropriate for the nurse to make?

Correct Answer is D

Explanation

A nurse is assisting in the care of a client who has severe burns. Exhibits Which of the following actions should the nurse take when caring for a client who has severe burns to the lower extremities? Select all that apply.

Correct Answer is ["B","C","D"]

Explanation

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