Which breakfast selection should the nurse encourage a client to eat who is hospitalized with partial-thickness and full-thickness burns to both legs?

Whole wheat cereal with milk, bacon, and coffee.

Pancakes, bacon, fruit, and milk.

Scrambled eggs, sausage, toast, and orange juice.

Bowl of hot oatmeal with milk, fruit, and lemon tea.

Answer and Explanation

The Correct Answer is C

A. Whole wheat cereal with milk, bacon, and coffee is incorrect. While it contains some protein (milk and bacon), it lacks adequate protein and calorie density needed for burn healing.
B. Pancakes, bacon, fruit, and milk is incorrect. While this meal provides carbohydrates and some protein, it does not offer enough protein for optimal wound healing.
C. Scrambled eggs, sausage, toast, and orange juice is correct. Burn patients require high-protein and high-calorie meals to support tissue repair and metabolic demands. Eggs and sausage provide high-quality protein, while toast and juice add necessary carbohydrates for energy.
D. A bowl of hot oatmeal with milk, fruit, and lemon tea is incorrect. Although this meal has carbohydrates and some protein, it is not protein-dense enough for burn recovery.

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Correct Answer is C

Explanation

A. Cashews. While cashews are nutritious and contain various vitamins and minerals, they are not particularly high in folate, which is crucial for preventing neural tube defects.
B. Yogurt. Yogurt is a good source of calcium and protein but is not a significant source of folate.

C. Asparagus. Asparagus is rich in folate, a B-vitamin that is essential for the prevention of neural tube defects during pregnancy. It is one of the best food sources of folate.
D. Chicken. Chicken provides protein and other nutrients but is not a significant source of folate, making it less effective in preventing neural tube defects compared to folate-rich vegetables like asparagus.

A. Urinary ketones. B. Serum protein. C. Serum osmolarity. D. Capillary glucose.

Correct Answer is D

Explanation

A. Urinary ketones are incorrect. Urinary ketones are more relevant in clients with diabetes or starvation states, but monitoring capillary glucose is more important in clients on TPN, as they may experience fluctuations in blood sugar levels.
B. Serum protein is incorrect. While serum protein is important for assessing nutritional status, capillary glucose is more critical for monitoring during TPN administration.
C. Serum osmolarity is incorrect. Serum osmolarity is important to assess fluid and electrolyte balance, but capillary glucose is more frequently monitored due to the risk of hyperglycemia in TPN patients.
D. Capillary glucose is correct. TPN contains high levels of glucose, and monitoring capillary glucose is critical to detect hyperglycemia and adjust the infusion rate or insulin therapy accordingly.

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Which breakfast selection should the nurse encourage a client to eat who is hospitalized with partial-thickness and full-thickness burns to both legs?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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