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A client, admitted with full-thickness burns 2 weeks ago, has lost an average of 1 lb (0.5 kg) of weight each day. which dietary adjustment would the nurse recommend?

a. increase low-sodium milk intake.
b. provide high-protein drinks.
c. increase foods that are low in potassium.
d. provide 10% more calories in the form of fats.

1 Answer

2 votes

Final answer:

For a burn patient who is losing weight rapidly, providing high-protein drinks is advisable to aid in tissue repair and satisfy the heightened nutritional needs. A balance of nutrients that supports healing and immune function while monitoring hydration and electrolyte balance is also essential. Therefore, the correct option is b.

Step-by-step explanation:

A client admitted with full-thickness burns 2 weeks ago, who has lost an average of 1 lb (0.5 kg) of weight each day, likely requires nutritional support to promote healing and to replace lost proteins. Considering the importance of protein in tissue repair and the high metabolic demands of healing from burns, the dietary adjustment I would recommend is b. provide high-protein drinks. It's crucial to support the body's increased nutritional demands following a severe burn, and protein is essential for the repair of damaged tissues.

Evidence-based dietary recommendations suggest a diet that includes a variety of protein foods, whole grains, fruits, vegetables, and dairy. High-protein diets can aid in the recovery of burn patients by providing the necessary substrates for tissue repair. However, considering the potential for dehydration and electrolyte imbalance in burn patients, it's also important to maintain adequate hydration and monitor for the need for electrolyte replacement.

It is important to note that though fat is calorie-dense, a substantial increase in dietary fat is not generally recommended for burn patients because this could contribute to other health complications. Burn patients require a balanced diet that can support the immune system, optimize wound healing, and prevent infection. Therefore, it's crucial to work closely with a dietitian or nutritionist to tailor dietary adjustments to the individual needs of the burn patient.

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