The client with a burn injury is applying mafenide (Sulfamylon) to the wound. The client calls the physician's office and tells the nurse that the medication is uncomfortable and is causing a burning sensation. The nurse instructs the client to:
1. Discontinue the medication.
2. Apply a thinner film than prescribed to the burn site.
3. Continue with the treatment, as this is expected.
4. Come to the office to see the physician immediately.
3
Rationale: Mafenide is used to treat partial- and full-thickness burns. It is bacteriostatic for both gram-negative and gram-positive organisms present in avascular tissues. The client should be warned that the medication will cause local discomfort and burning. The nurse does not instruct a client to alter a medication prescription ("discontinue the medication" and "apply a thinner film than prescribed to the burn site"). It is not necessary that the client see the physician immediately at this time.
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