A patient with a burn injury is prescribed silver nitrate. Which nursing interventions should be included in the care for this patient?
Select all that apply.
1. Monitor daily weight.
2. Monitor serum sodium levels.
3. Prepare to change the dressings every 2 hours.
4. Report black skin discolorations.
5. Saturate the dressings every 2 hours with a 0.5% aqueous solution of silver nitrate.
Correct Answer: 1, 2, 5
Silver nitrate can cause hypotonicity. Manifestations of hypotonicity include weight gain and edema, which can be monitored by daily weights. Hyponatremia and hypochloremic alkalosis are common findings in patients treated with silver nitrate, so serum sodium and chloride should be monitored. Silver nitrate in a 0.5% solution in distilled water should be applied to the dressings every 2 hours. The dressings should be changed twice daily. Black discolorations of the skin are anticipated in patients using silver nitrate and do not indicate a complication of therapy.
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