A patient with burns covering 40 total body surface area (TBSA) ...

[kaid0807]

A patient with burns covering 40 total body surface area (TBSA) is in the acute phase of burn treatment. Which snack would be best for the nurse to offer to this patient?
 
  a. Bananas
  b. Orange gelatin
  c. Vanilla milkshake
  d. Whole grain bagel

Question 2

The nurse caring for a patient admitted with burns over 30 of the body surface assesses that urine output has dramatically increased. Which action by the nurse would best ensure adequate kidney function?
 
  a. Continue to monitor the urine output.
  b. Monitor for increased white blood cells (WBCs).
  c. Assess that blisters and edema have subsided.
  d. Prepare the patient for discharge from the burn unit.

[skipfourms123]

Answer to Question 1

ANS: C
A patient with a burn injury needs high protein and calorie food intake, and the milkshake is the highest in these nutrients. The other choices are not as nutrient-dense as the milkshake. Gelatin is likely high in sugar. The bagel is a good carbohydrate choice, but low in protein. Bananas are a good source of potassium, but are not high in protein and calories.

Answer to Question 2

ANS: A
The patient's urine output indicates that the patient is entering the acute phase of the burn injury and moving on from the emergent stage. At the end of the emergent phase, capillary permeability normalizes and the patient begins to diurese large amounts of urine with a low specific gravity. Although this may occur at about 48 hours, it may be longer in some patients. Blisters and edema begin to resolve, but this process requires more time. White blood cells may increase or decrease, based on the patient's immune status and any infectious processes. The WBC count does not indicate kidney function. The patient will likely remain in the burn unit during the acute stage of burn injury.

[kaid0807]

Thank you

[skipfourms123]

Happy to help you