Which nursing action best promotes nutritional status during the acute phase after extensive burns?

• A. Provide a diet high in sodium.
• B. Limit caloric intake to decrease the work of the body.
• C. Reduce protein intake to avoid overtaxing the kidneys.
• D. Administer the prescribed intravenous fluid with the added vitamin C.

Answer: (C)

In burns, the body enters a hypermetabolic, catabolic state that drives rapid loss of lean tissue while healing tissues require building blocks. Protein is the main building block for new tissue, immune system components, and enzymes involved in repair. Because of this, providing adequate protein is essential to promote nutritional status and support wound healing. Limiting calories or restricting protein would worsen energy debt and impede recovery, and a diet high in sodium can worsen edema and fluid shifts that commonly accompany burns. Giving intravenous fluids with added vitamin C may support certain aspects of healing, such as collagen synthesis, but it does not address the fundamental need for sufficient protein and overall calories. The primary focus for improving nutritional status in this phase is ensuring ample protein and energy intake, with vitamin supplementation like vitamin C considered as part of the broader healing plan as indicated by protocol.