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 A
Explanation
A. The client produces black colored sputum.
Black sputum indicates inhalation injury, which can compromise the airway-this is a life-threatening emergency and takes priority.
B. The client has decreased sensation over the burn areas.
This is expected in deep partial- or full-thickness burns but is not immediately life-threatening.
C. The client has edema at the burn site.
Edema is common after burns due to capillary leakage and inflammation.
D. The client has large blistered areas over his chest.
While concerning, this is not a higher priority than potential airway compromise.
Correct Answer is A
Explanation
A. "Use a moisturizer on your skin after cleaning."
Moisturizers help maintain skin hydration and barrier function, reducing the risk of breakdown and infection.
B. "Rub your skin firmly when cleaning."
This can cause microabrasions and increase the risk of skin breakdown and infection.
C. "Wash your skin daily with hot water.”
Hot water can dry out the skin and compromise the skin barrier, increasing infection risk.
D. "Allow your skin to air dry after bathing.”
Patting the skin dry is better than air drying, which can lead to excessive dryness and irritation.
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