When caring for a burn client receiving silver sulfadiazine wound care, the nurse should:
a. monitor urine for blood.
b. use with caution in clients with renal insufficiency.
c. monitor for manifestations of metabolic acidosis.
d. monitor serum sulfa concentrations.
ANS: D
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A Incorrect: This is not an adverse effect of silver sulfadiazine.
B Incorrect: This is not a complication of silver sulfadiazine.
C Incorrect: This is not an adverse effect of silver sulfadiazine.
D Correct: Because it is being applied to open lesions and thus being absorbed into systemic circulation, sulfa levels must be monitored.
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