The nurse is preparing a client for discharge from the hospital following a major burn injury. The nurse is developing a plan for his nutrition and understands that:
1. The hypermetabolic state continues until all the wounds are healed.
2. The hypermetabolic state is only present in the emergency and acute periods of burn care.
3. No extra calories are necessary once discharged from the hospital.
4. The calorie intake should be decreased so as not to gain weight.
The hypermetabolic state continues until all the wounds are healed.
Rationale: 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 client continue with increased calorie and vitamin intake after discharge from the hospital. Decreasing calorie intake is inappropriate.
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