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 effectthat 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 tellthe 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 unitis caring forfour 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 of malignantmelanoma of the left upperleg. Initially,the
nurse plans to prepare the client for which of the following?
Surgical excision
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