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A Patient with Deep Partial-Thickness and Full-Thickness Burns of the Face

Question 18

Multiple Choice

A patient with deep partial-thickness and full-thickness burns of the face and chest has the wounds treated with the open method.The nurse identifies a nursing diagnosis of risk for infection and an expected patient outcome of absence of wound infections.What is an appropriate nursing intervention to help the patient meet the expected outcome?


A) Restrict all visitors to prevent cross-contamination of wounds.
B) Wear gowns,caps,masks,and gloves during all care of the patient.
C) Use sterile water for cleansing and debridement in the hydrotherapy tank.
D) Administer prophylactic broad-spectrum antibiotics to prevent bacterial colonization of wounds.

Correct Answer:

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