The nurse is providing care to a patient in the burn unit. Which of the following should the nurse do to ensure an adequate nutritional status for this patient? Select all that apply
1. Calculate total body surface burned to ensure 35 to 40 calories per kg of body weight is provided.
2. Report daily weights to ensure that a weight loss of >10% does not occur.
3. Plan for a parenteral nutrition access site.
4. Keep the patient NPO.
5. Ensure 5 gm protein per kg is provided daily.
1. Calculate total body surface burned to ensure 35 to 40 calories per kg of body weight is provided.
2. Report daily weights to ensure that a weight loss of >10% does not occur.
Rationale: Calculate total body surface burned to ensure 35 to 40 calories per kg of body weight is provided. The patient's nutritional needs, as well as wound-healing needs, must be met. The percentage of body surface burned needs to be calculated to ensure that 35 to 40 calories per kg of body weight are provided. Report daily weights to ensure that a weight loss of >10% does not occur. Daily weights are to be done to ensure the patient is not losing weight. Weight loss of >10% will lead to impaired healing. Plan for a parenteral nutrition access site. Enteral feedings are recommended for burn patients. Keep the patient NPO. The patient should not be kept NPO. Ensure 5 gm protein per kg is provided daily. Up to 2 grams of protein per kg of weight per day is suggested for healing.
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