Author Question: The nurse is discussing food selection with a client who recently experienced a partial-thickness ... (Read 26 times)

faduma · **on:** Jul 23, 2018

The nurse is discussing food selection with a client who recently experienced a partial-thickness burn over 20 of her body.

The client expresses a reluctance to ingest a large amount of carbohydrates because she success-fully lost 50 pounds and does not want to regain the weight. The most therapeutic response to the client's nutritional needs is:
1. Don't be concerned about regaining the weight until your burns have healed.
2. You need a huge amount of calories to heal, so there won't be a weight gain.
3. You will experience a nitrogen imbalance if there aren't enough carbohydrates in your diet.
4. The extra carbohydrates will be utilized for energy so that your protein can be saved for repair of your skin.

Question 2

A nurse is discussing high-nutrient-density food selections with a client recovering from exten-sive partial-thickness burns. Which of the following statements by the nurse reflects the best un-derstanding of this dietary concept?

1. Do you enjoy fresh fruits and vegetables?
2. Would you consider replacing soda with milk?
3. Your body requires lots of energy in order to heal itself, and that energy comes from nutrient-packed foods.
4. You need a great deal of energy, and you'll get that by eating large volumes of food that can be turned into energy.

trog · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 4
Negative nitrogen balance occurs when the body loses more nitrogen than the body gains; for example, with infection, sepsis, burns, fever, starvation, head injury, and trauma. Nutrition during this period needs to provide nutrients to put clients into positive nitrogen balance for healing. Carbohydrates are the main source of energy in the diet. The remaining options concentrate more on the weight gain issue than the energy need.

Answer to Question 2

ANS: 3
High-nutrient-density foods, such as fruits and vegetables, provide a large number of nutrients in relationship to kilocalories. Low-nutrient-density foods, such as alcohol or sugar, are high in kil-ocalories but are nutrient poor. The remaining options either provide suggestions for food substi-tutes or provide a less informative explanation.