The nurse is caring for a patient who sustained burns of 40% of the total body surface area. Which of the following would be indicated to meet this patient's nutritional needs?
1. nutritional assessment and supply with high calorie, high protein supplements
2. provide high dose therapy of vitamins C and B
3. supply with high fat and high carbohydrate supplements
4. supply with balanced nutrients to meet current body weight needs
1
Rationale: The patient recovering from a burn injury of 40% of the total body surface should have a complete nutritional assessment and then be supplied with high calorie, high protein supplements to meet the body's hypermetabolic and healing needs. Research does not support the use of specific supplements to high dose therapy of vitamins C and B and would not be appropriate. The patient needs high protein supplements as well as a sufficient number of calories from carbohydrates and fats to meet the body's needs. Because of the hypermetabolic status of the patient, the patient needs more calories than those needed to meet current body weight needs.
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