Collagenase (Santyl) is prescribed for a client with a severe burn to the hand. The nurse is providing instructions to the client and spouse regarding wound treatment. Which of the following should the nurse include in the instructions?
1. Apply twice a day, and leave it open to the air.
2. Apply once a day, and leave it open to the air.
3. Apply twice a day, and cover it with a sterile dressing.
4. Apply once a day, and cover it with a sterile dressing.
4
Rationale: Collagenase is used in the treatment of dermal lesions and severe burns. Its action is to débride the affected area. It is applied once daily and covered with a sterile dressing. "Apply twice a day, and leave it open to the air," "apply once a day, and leave it open to the air," and "apply twice a day, and cover it with a sterile dressing" are incorrect application procedures.
You might also like to view...
A 70-year-old patient is scheduled for open-heart surgery. The surgeon plans to use the great saphenous vein for the coronary bypass grafts. The patient asks, "What happens to my circulation when this vein is removed?" The nurse should reply:
a. "Venous insufficiency is a common problem after this type of surgery." b. "Oh, you have lots of veinsâ€"you won't even notice that it has been removed." c. "You will probably experience decreased circulation after the vein is removed." d. "This vein can be removed without harming your circulation because the deeper veins in your leg are in good condition."
An 80-year-old male patient who is receiving treatment for COPD in the geriatric medicine unit of a hospital has been displaying frequent signs of anxiety since admission. Which of the following nursing actions should the nurse prioritize?
A) Implementing a predictable routine and providing explanations prior to nursing interventions. B) Ensuring that the patient has appropriate benzodiazepines prescribed. C) Explaining to the patient that his prognosis is good and that discharge will take place shortly. D) Working with the occupational therapist to provide the patient with meaningful activity.
Benefits of using standardized language for nursing diagnoses are that it:
1. provides a method for identifying the focus of nursing care and ensures that nursing care is documented in a retrievable manner for quality improvement. 2. emphasizes completion of nursing tasks and provides a method of identifying the focus of nursing care. 3. fosters nursing research and allows for third-party reimbursement for medical care. 4. emphasizes a multidisciplinary approach to medical records and subsumes nursing under the medical model.
The dose ordered is 40 mg. Solution available is 25 mg/mL. Calculate the dosage volume
What will be an ideal response?