The nurse is providing care to a patient in the burn unit. What should the nurse do to ensure an adequate nutritional status for this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Plan for a parenteral nutrition access site.
2. Ensure that 5 g/kg of protein are provided daily.
3. Keep the patient NPO.
4. Report daily weights to avoid a weight loss of >10%.
5. Ensure the patient receives a minimum of 35 to 40 calories/kg of body weight each day.
4,5
Rationale 1: Enteral feedings are recommended for burn patients because of the risk of infection.
Rationale 2: Protein intake of 1.5 g/kg of body weight is recommended for tissue repair.
Rationale 3: The patient should receive early oral or enteral feedings.
Rationale 4: Daily weights are monitored to assess for weight loss. A weight loss of >10% impairs the healing process.
Rationale 5: Typically 35 to 40 calories/kg per day are required for adults. This may be adjusted for the energy expended as burns heal.
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