章节:The Client with Health Problems of the Integumentary System

SC
正确指数:0% 正确的次数:0 错误的次数:1 7156---The client with a major burn injury receives total parenteral nutrition (TPN). The expected outcome is to:

Saunders Comprehensive Review for the NCLEX-RN® Examination, 7e (Saunders Comprehensive Review for Nclex-Rn)

1. correct water and electrolyte imbalances.
2. allow the gastrointestinal tract to rest.
3. provide supplemental vitamins and minerals.
4. ensure adequate caloric and protein intake.

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正确答案:
4. ensure adequate caloric and protein intake.
解释 :
Nutritional support with sufficient calories and protein is extremely important for a client with severe burns because of the loss of plasma protein through injured capillaries and an increased metabolic rate. Gastric dilation and paralytic ileus commonly occur in clients with severe burns, making oral fluids and foods contraindicated. Water and electrolyte imbalances can be corrected by administration of IV fluids with electrolyte additives, although TPN typically includes all necessary electrolytes. Resting the gastrointestinal tract may help prevent paralytic ileus, and TPN provides vitamins and minerals; however, the primary reason for starting TPN is to provide the protein necessary for tissue healing.