ATI Care of Patients with Burns...pdf

Document Content and Description Below

MULTIPLE CHOICE 1. The RN has assigned a client who has an open burn wound to the LPN. Which instruction is most important for the RN to provide the LPN? a. Administer the prescribed tetanus toxo... id vaccine. b. Assess wounds for signs of infection. c. Have the client cough and breathe deeply. d. Wash hands on entering the client’s room. ANS: D Infection can occur when microorganisms from another person or from the environment are transferred to the client. Although all of the interventions listed can help reduce the risk for infection, handwashing is the most effective technique for preventing infection transmission. DIF: Cognitive Level: Application/Applying or higher REF: N/A TOP: Client Needs Category: Safe and Effective Care Environment (Safety and Infection Control—Standard Precautions/Transmission-Based Precautions/Surgical Asepsis) MSC: Integrated Process: Nursing Process (Implementation) 2. When providing care for a client with an acute burn injury, which nursing intervention is most important to prevent infection by autocontamination? a. Avoid sharing equipment such as blood pressure cuffs between clients. b. Change gloves between wound care on different parts of the client’s body. c. Use the closed method of burn wound management for all wound care. d. Use proper and consistent handwashing by all members of the staff. [Show More]

Last updated: 7 months ago

Preview 1 out of 33 pages