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A 26-Year-Old Man in the Burn Unit Is Being Evaluated

question 378

Multiple Choice

A 26-year-old man in the burn unit is being evaluated for nutritional needs.  The patient was admitted 12 hours ago after the trash he was burning exploded, causing partial- and full-thickness burns to the face, the anterior chest and abdomen, and both upper extremities.  He has been receiving IV crystalloid resuscitation titrated to an adequate urine output, and his burns have undergone initial debridement and dressing with topical antimicrobial ointment.  Temperature is 37.6 C (99.7 F) , blood pressure is 132/86 mm Hg, and pulse is 100/min.  The patient is mildly sedated but arousable.  Burn dressings are intact, with some serous drainage, and the abdomen is soft and nondistended.  Which of the following is the most appropriate management of this patient's nutrition?


Definitions:

Anti-grease Dishwashing Detergent

A cleaning agent specifically formulated to break down and remove grease and oil from dishes and cookware.

Infectious Materials

Substances that contain pathogens, such as bacteria, viruses, or fungi, capable of causing diseases in humans or other organisms.

Chewing Gum

A soft, cohesive substance designed to be chewed without being swallowed, often used to freshen breath and aid in oral cleanliness.

OSHA

The Occupational Safety and Health Administration is an agency of the U.S. government tasked with the responsibility to guarantee both safe and healthy conditions in the workplace.

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