A nurse is teaching a patient who has a second-degree burn on one arm about the use of a topical anesthetic for pain. Which statement by the patient indicates understanding of the teaching?
a. "I will apply a thin layer of the medication to a small area of skin."
b. "I will cover the burn with a dressing after applying the medication."
c. "I will make sure to apply the medication to the entire burn area."
d. "I will use the medication only on the most painful, blistered areas."
ANS: A
Topical anesthetics can be absorbed in sufficient amounts to cause serious and even life-threatening systemic toxicity, so they should be applied in the smallest amount needed to as small an area as possible. Covering the site increases the skin's temperature, which increases absorption, so this should be avoided. Applying the medication to a large area increases systemic absorption. Applying the medication to broken skin increases systemic absorption.
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Fill in the blank(s) with the appropriate word(s).