Author Question: A parent of a child with major burns asks the nurse why a high-calorie and high-protein diet is ... (Read 145 times)

nmorano1 · **on:** Jun 28, 2018

A parent of a child with major burns asks the nurse why a high-calorie and high-protein diet is prescribed. Which response should the nurse make?

a. The diet promotes growth.
b. The diet will improve appetite.
c. The diet will diminish risks of stress-induced hyperglycemia.
d. The diet will avoid protein breakdown.

Question 2

A toddler sustains a minor burn on the hand from hot coffee. Which is the first action the nurse should recommend in treating this burn?

a. Apply ice to burned area.
b. Hold burned area under cool running water.
c. Break any blisters with a sterile needle.
d. Cleanse wound with soap and warm water.

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

Answer to Question 1

ANS: D
The diet must provide sufficient calories to meet the increased metabolic needs and enough protein to avoid protein breakdown. Healing, not growth is the primary consideration. Many children have poor appetites, and supplementation will be 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: B
In minor burns, the best method to stop the burning process is to hold the burned area under cool running water. Ice is not recommended. Removal of blisters is not generally accepted therapy unless the injury is from a chemical substance. Cooling is necessary to stop the burning process.