Author Question: What is the purpose of a high-protein diet for a child with major burns? a. Promote growth b. ... (Read 48 times)

melly21297 · **on:** Jun 28, 2018

What is the purpose of a high-protein diet for a child with major burns?

a. Promote growth
b. Improve appetite
c. Minimize protein breakdown
d. Diminish risk of stress-induced hyperglycemia

Question 2

What sign is one of the first to indicate overwhelming sepsis in a child with burn injuries?

a. Seizures
b. Bradycardia
c. Disorientation
d. Decreased blood pressure

morganmarie791 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
Initially after major burns, there is a hypometabolic phase, which lasts for 2 or 3 days. A hypermetabolic phase follows, characterized by increased body temperature, oxygen and glucose consumption, carbon dioxide production, glycogenolysis, proteolysis, and lipolysis. This response continues for up to 9 months. A diet high in protein and calories is necessary. Healing, not growth, is the primary consideration. Many children have poor appetites, and supplementation is necessary. Hypoglycemia, not hyperglycemia, can occur from the stress of burn injury because the liver glycogen stores are rapidly depleted.

Answer to Question 2

ANS: C
Disorientation in the burn patient is one of the first signs of overwhelming sepsis and may indicate inadequate hydration. Seizures, bradycardia, and decreased blood pressure are not initial manifestations of overwhelming sepsis.