A patient undergoing treatment for cancer is admitted to the burn unit. To support this patient's nutritional needs, the nurse should:
1. Discuss nutritional needs with a dietitian to ensure all physiological needs are met.
2. Plan to provide extra protein to support the burn injuries.
3. Monitor the patient for signs of deteriorating nutritional status.
4. Restrict protein while increasing calories.
Discuss nutritional needs with a dietitian to ensure all physiological needs are met.
Rationale: The nurse should consult with a dietitian to ensure that all of the patient's physiological needs are met. Physiological stress includes thermal injuries, trauma, sepsis, and major surgeries. Cancer treatment could cause physiological changes to the body. The focus of care should not be just on the burn injury. The patient is undergoing treatment for cancer and could be at a nutritional disadvantage, so monitoring the patient would not be sufficient to meet the patient's needs. Protein should not be restricted in the presence of a physiological stress.
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