A client with a burn injury has been prescribed silver nitrate. The appropriate nursing intervention for the client is to:
1. Monitor daily weight.
2. Prepare to change the dressings every two hours.
3. Report black skin discolorations.
4. Push fluid intake.
1. Monitor daily weight.
Rationale:
Silver nitrate can result in hypotonicity, or hypotonic osmotic pressure. Manifestations of hypotonicity include weight gain and edema, which can be monitored by daily weights. Changing the dressing every 2 hours is too frequent for the client. Black discolorations in the skin are anticipated for clients using silver nitrate and do not indicate a complication of therapy. Silver sulfadiazine, not silver nitrate, administration can result in the development of sulfa crystals in the urine.
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