Which interventions should the nurse include in the plan of care for a pediatric client who suffered a full-thickness burn injury to decrease the risk for infection? Select all that apply
1. Using an age-appropriate assessment scale
2. Covering the affected skin as much as possible
3. Providing analgesics prior to wound care
4. Keeping the skin as clean and dry as possible
5. Clipping hair around the wound
4, 5
Explanation:
1. Pain assessment with an age-appropriate scale is an appropriate intervention to address pain, not infection.
2. Covering the affected area to prevent temperature changes and air movement is an appropriate intervention to address pain, not infection.
3. Analgesics administration prior to wound care is an appropriate intervention to address pain, not infection.
4. Keeping the skin as clean and dry as possible is an appropriate intervention to decrease infection.
5. Clipping hair around the wound is an appropriate intervention to decrease infection.
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