The nurse is preparing a patient for discharge from the hospital following a major burn injury. The nurse would consider which pathophysiology when developing a plan for the patient's nutrition?
1. The hypermetabolic state is only present in the emergency and acute phases of burn care.
2. The hypermetabolic state continues until all the wounds are healed.
3. The major dietary need after discharge is additional oral fluids.
4. The calorie intake should be decreased so the patient does not stress new tissue with weight gain.
2
Rationale 1: The hypermetabolic state does not end with the acute phase of burn care.
Rationale 2: The hypermetabolic state continues until the burn wounds are completely healed, which can take up to 12 to 18 months after the injury. Therefore, it is essential that the patient continue with increased calorie and vitamin intake after discharge from the hospital.
Rationale 3: Oral fluids continue to be required, but other nutritional components are also essential.
Rationale 4: Reducing calorie intake is inappropriate.
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a. hire new employees. b. mentor the nursing staff. c. train new nurses in patient care. d. support the decisions of the nursing team. e. enable the staff to become effective lead-ers.
The nurse performs Allen's test before obtaining an ABG specimen to determine
a. if an allergy to heparin is present. b. if ulnar circulation is adequate. c. the patency of the radial artery. d. the presence of neuromuscular weakness.
Why was there a severe shortage of nurses at the end of WW I?
A) Notoriously poor salaries paid nurses B) Poor working conditions C) Alternate employment opportunities available for women D) Well known exploitation of nursing students
The grandmother of a 1-year-old cancer patient comes to visit the child in the PICU. She sits in a chair near the child's bed but doesn't touch him. Which action by the nurse would be most appropriate?
A) Respect their privacy and leave the room B) Pick up the child so that the grandmother sees he can be touched C) Ask the grandmother if she would like to talk to the child D) Encourage the grandmother to rock the child in a rocking chair