A high-protein diet for the child with major burns is ordered to:
a. Promote growth.
b. Improve appetite.
c. Diminish risks of stress-induced hyperglycemia.
d. Avoid protein breakdown.
ANS: D
The diet must provide sufficient calories to meet the increased metabolic needs and enough protein to avoid protein breakdown. Healing, not growth, is the primary consideration. Many children have poor appetites, and supplementation will be necessary. Hypoglycemia, not hyperglycemia, can occur from the stress of burn injury because the liver glycogen stores are rapidly depleted.
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