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 B

Explanation

A. "I used to lie in the sun all the time, but now I just go to the tanning bed.":
Tanning beds also emit harmful UV radiation and increase the risk of skin cancer.

B. "I need to use sunscreen even in winter.":
UV rays are present year-round, even in cloudy or cold weather, and sunscreen is still needed.

C. "Because I have a light complexion, I have a decreased risk for skin cancer.":
Fair-skinned individuals have a higher risk due to less melanin protection.

D. "My father was treated for melanoma, but skin cancer isn't related to genetics.":
Family history of skin cancer, especially melanoma, increases risk.

A. Lip edema B. Urinary output 25 mL/hr C. Difficulty swallowing D. Heart rate 122/min

Correct Answer is C

Explanation

A. Lip edema:
Concerning, but not as urgent as difficulty swallowing, which could signal airway involvement.

B. Urinary output 25 mL/hr:
Slightly low, needs monitoring, but not the immediate priority.

C. Difficulty swallowing:
Suggests edema involving the airway, possibly progressing to obstruction - this is the priority.

D. Heart rate 122/min:
May reflect pain or fluid loss, but not as urgent as a threatened airway.

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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 reinforcing teaching with a client about the risk factors for skin cancer. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is caring for a client who has burns to his face, ears, and eyelids. Which of the following is the priority finding to report to the provider?

Correct Answer is C

Explanation

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