A patient who has extensive second- and third-degree burns will use mafenide acetate (Sulfamylon) to treat the burns. What is an important aspect of care for this patient?
a. Assess for fluid overload.
b. Explain that this medication will decrease pain.
c. Monitor the patient's electrolytes.
d. Teach the patient how to use sterile technique at home.
ANS: C
Mafenide acetate can cause electrolyte imbalances. Fluid overload is not likely. This medication does not decrease pain. Patients should be taught to use clean technique.
You might also like to view...
For which patient could the nurse collect a sputum specimen without using a suction catheter?
a. The patient with a newly placed tracheostomy b. The patient with an endotracheal tube c. The patient with late-stage amyotrophic lateral sclerosis d. The patient admitted with chronic bronchitis
Which of the following nursing interventions should a nurse perform to promote the dignity and self-esteem of a dying client?
A) Communicate hopefulness. B) Keep the client clean and well groomed. C) Share emotional pain. D) Help the client live according to his or her wishes.
A client's axillary temperature is 100.8°F. The nurse realizes this is outside normal range for this client, and that axillary temperatures do not reflect core temperature. What should the nurse do to obtain a good estimate of the core temperature?
a. Add 1°F to 100.8°F to obtain an oral equivalent. b. Add 2°F to 100.8°F to obtain a rectal equivalent. c. Obtain a rectal temperature reading. d. Obtain a tympanic membrane reading.
An 82-year-old patient with a history of chronic heart and respiratory problems asks the nurse, "What can I do to keep my hemorrhoids from acting up?" Which of the following responses made by the nurse are appropriate? (Select all that apply.)
a. Ask if he experiences constipation with any regularity. b. Encourage him to increase his fluid intake to 2000 mL daily. c. Suggest he eat more whole grains and fresh fruits. d. Discuss how he should include a walk into his daily routine. e. Ask if he has a history of rectal bleeding.