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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
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.
Correct Answer is B
Explanation
A. Assessing for rhinorrhea or otorrhea:
Relevant in head trauma or skull fracture, not a priority in impaired mobility related to burns.
B. Monitoring for changes in the client's baseline focused assessment:
Changes in perfusion, sensation, and mobility may indicate compartment syndrome or pressure injuries and need prompt attention.
C. Documenting the relevant information in the client's medical record:
Important for continuity of care, but not the priority assessment.
D. Range of motion (ROM) of the restrained extremity:
Helpful to prevent contractures, but monitoring for clinical deterioration takes precedence.
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