Nutrition and Metabolic Demands in Burn Clients · NCLEX Exam

What explains the rapid weight loss and muscle wasting in a burn client with a 40% TBSA burn?

  1. A decreased metabolic rate that promotes catabolism
  2. A hypermetabolic, hypercatabolic stress response
  3. Increased fat storage with reduced protein breakdown
  4. A normal, self-limiting post-burn metabolic response
Show answer and explanation

Correct answer: A hypermetabolic, hypercatabolic stress response

Severe burn injury triggers a persistent hypermetabolic and hypercatabolic state with increased proteolysis, lipolysis and energy expenditure, causing muscle wasting and weight loss.

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