1. A client is prescribed 1% silver sulfadiazine cream (Silvadene) to be applied to her burn wounds

twice daily. After 3 days of treatment, the nurse suspects an adverse reaction to the medication

when the client develops which of the following?

Leukopenia

Transientleukopenia is a common adverse effect that appears after 2 to 3 days oftreatment with

silver sulfadiazine cream.

2. A client with a large healing deep partial thickness burn of the forearm and wrist is being

discharged from the burn treatment clinic. Which ofthe following should the nurse tell the client

to avoid for a year?

Exposure to the sun

A deep partial thickness burn occurs when the first layer of skin, the epidermis, is burned all the

way through, and some level of burning occurs in the underlying layer of skin, called the dermis.

A deep partial thickness burn can cause permanent scars, much like a full thickness burn.

Exposure to sun of the newly formed and healing skin in the year following a burn injury can

cause more intense scarring.

3. A nurse on a surgical unit is caring for four clients with healing wounds. Which of the four clints

wounds should the nurse anticipate will heal by primary intention?

Gastroplasty incision

Would closure occurs by primary intention (surgical closure), secondary intention (left open to

close by the reparative process), and tertiary closure (left open and surgically closed at a later

date). With primary intention, a clean would is closed mechanically, leaving well approximated

edges and minimal scarring. A surgical incision is an example of a wound that heals by primary

intention.

4. A clientis being discharged aftersurgical excision of amalignant melanoma. Which statement

indicated to the nurse an understanding of the danger of ultraviolet light?

I’ll reapply my sunscreen every 2 hours when I’m out in the sun.

Even water-resistantsunscreensshould be reapplied at least every 2 hr afterswimming or

during prolonged sun exposure.

5. A clientis admitted fortreatment ofmalignant melanoma of the left upperleg. Initially, the

nurse plans to prepare the client for which of the following?

Surgical excision