Practice Quiz

CMSRN Medical-Surgical Nursing

Category - Hematological

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Mr. Swanson is admitted with full-thickness burns of the back and posterior thighs. Multiple dressing changes to the burns will be performed as part of the patient’s care and the expected client outcome while hospitalized is absence of a wound infection. Which intervention is appropriate in meeting this outcome?
  1. Gloves, gowns, masks, and caps must be worn during the care of this client and sterile gloves must be worn for the dressing changes.
  2. The use of good hand washing technique is the only intervention that is needed.
  3. Intubation and aggressive ventilatory management are needed to reverse the effects of an inhalation burn injury.
  4. Prophylactic antibiotics must be administered to prevent an infection and colonization of wounds.
Explanation
Answer - A - When providing direct care to a burn client, staff must wear gloves, caps, gowns, and masks to prevent an infection. Although burn clients are susceptible to infections, administration of antibiotics is not ordered until specific cultures and organisms are identified.
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