Author Question: The nurse is evaluating the adequacy of a burn-injured patient's nutritional intake. Which ... (Read 93 times)

lidoalex · **on:** Jun 25, 2018

The nurse is evaluating the adequacy of a burn-injured patient's nutritional intake. Which laboratory value indicates the need to adjust the patient's nutritional program?

1. glycosuria
2. creatine phosphokinase (CPK)
3. BUN levels
4. hemoglobin

Question 2

A patient with a burn injury is prescribed silver nitrate. Which nursing interventions should be included in the care for this patient?

Select all that apply.
1. Monitor daily weight.
2. Monitor serum sodium levels.
3. Prepare to change the dressings every 2 hours.
4. Report black skin discolorations.
5. Saturate the dressings every 2 hours with a 0.5 aqueous solution of silver nitrate.

Madisongo23 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
Glucose in the urine is seen after a major burn injury. It signals the need to reevaluate the patient's nutritional plan. Creatine phosphokinase is used to identify the presence of muscle injuries. BUN levels are used to evaluate kidney function. Hemoglobin levels fluctuate with the stages of the burn injury, depending on the fluid status.

Answer to Question 2

Correct Answer: 1, 2, 5
Silver nitrate can cause hypotonicity. Manifestations of hypotonicity include weight gain and edema, which can be monitored by daily weights. Hyponatremia and hypochloremic alkalosis are common findings in patients treated with silver nitrate, so serum sodium and chloride should be monitored. Silver nitrate in a 0.5 solution in distilled water should be applied to the dressings every 2 hours. The dressings should be changed twice daily. Black discolorations of the skin are anticipated in patients using silver nitrate and do not indicate a complication of therapy.