A child has been in the burn unit for 13 days. Which nursing assessment indicates that a priority goal has been met?
A.
Decreased albumen over 5 days
B.
Intake equals output for 24 hours
C.
Participates in dressing changes
D.
Weight gain of 0.5 kg in 1 week
ANS: D
Nutrition is an important problem for the child with burns, as the child is hypermetabolic and needs a high-calorie, high-protein diet. Children are generally weighed twice a week in the burn center. A weight gain shows that nutritional needs are being met. Albumen should increase with improved nutrition, but remember that this laboratory value lags behind other indicators of nutrition. Participating in dressing changes shows evidence of meeting a psychosocial goal, but that would not take priority over a physical problem. Intake should be more than output because of the insensible losses.
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