What is the purpose of a high-protein diet for a child with major burns?
a. Promote growth
b. Improve appetite
c. Minimize protein breakdown
d. Diminish risk of stress-induced hyperglycemia
ANS: C
Initially after major burns, there is a hypometabolic phase, which lasts for 2 or 3 days. A hypermetabolic phase follows, characterized by increased body temperature, oxygen and glucose consumption, carbon dioxide production, glycogenolysis, proteolysis, and lipolysis. This response continues for up to 9 months. A diet high in protein and calories is necessary. Healing, not growth, is the primary consideration. Many children have poor appetites, and supplementation is necessary. Hypoglycemia, not hyperglycemia, can occur from the stress of burn injury because the liver glycogen stores are rapidly depleted.
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The conscious decision on when to conceive or avoid pregnancy throughout the reproductive years is called:
1. family planning. 2. birth control. 3. contraception. 4. assisted reproductive therapy.
Which of the following statements accurately describe a recommended guideline for implementation? Select all that apply
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A patient with colon cancer is being treated with bevacizumab (Avastin). The nurse monitors for nephrotic syndrome, a known side effect of this medication, by:
a. assessing for proteinuria. b. frequently taking vital signs. c. maintaining strict intake and output. d. assessing for dehydration.