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.


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.

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