A client with a burn injury is prescribed mechanical debridement of the wounds. Based on this data, which should the nurse include in the client's plan of care?
Select all that apply.
A) Homograft
B) Application of a topical agent to dissolve necrotic tissue
C) Irrigation of the burn wounds
D) Application of wet-to-dry gauze dressings
E) Hydrotherapy
Answer: C, D, E
Mechanical debridement is done by applying and removing wet-to-dry gauze dressings, using hydrotherapy, or using irrigation. Applying a topical agent to dissolve necrotic tissue is an example of enzymatic debridement. The application of a homograft is a type of dressing and not a type of debridement.
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The nurse is assessing for skin changes on an 80-year-old female. Which of the following require physician consultation? (Select all that apply.)
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The nurse is caring for an 80-year-old patient who is receiving a unit of whole blood. During the transfusion the nurse prioritizes assessment for which possible complication?
1. Liver failure 2. Infection 3. Fluid overload 4. Thrombosis
What is an exploratory study?
a. A search for cause and effect or interactive relationships between concepts. b. A comparison of earlier exposure to a risk factor between cases and controls. c. An examination of the relationships or differences between the concepts and other factors. d. A comparison of two or more variables over a long period of time.