client with a burn wound on the chest has a silver sulfadiazine (Silvadene) cream applied to the wound. Which adverse reaction should the nurse monitor for in this client?

Hypersensitivity or allergic reaction.

Leukopenia or decreased white blood cell count.

Hyperglycemia or increased blood glucose level.

A and B

Answer and Explanation

The Correct Answer is D

Correct answer: D) A and B.

Rationale: Silver sulfadiazine (Silvadene) is a topical antimicrobial agent used to prevent or treat infection in burn wounds. The nurse should monitor for hypersensitivity or allergic reaction, such as rash, itching, swelling, or difficulty breathing; and leukopenia or decreased white blood cell count, which can increase the risk of infection. The nurse should obtain a baseline complete blood count (CBC) before applying the cream and repeat it every few days during treatment.

Incorrect option:

C) Hyperglycemia or increased blood glucose level. - This is not a common adverse reaction of silver sulfadiazine (Silvadene). However, the client with a burn wound may have hyperglycemia due to stress, inflammation, or infection. The nurse should monitor the blood glucose level regularly and administer insulin as prescribed.

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Correct Answer is D

Explanation

Answer: D

Alginate dressing is a type of dressing that is made from seaweed fibers and is highly absorbent. It is suitable for wounds that have moderate to heavy exudate, as it can absorb up to 20 times its weight in fluid. It also forms a gel-like substance when in contact with wound fluid, which creates a moist environment that facilitates wound healing and autolytic debridement.

C. Foam dressing is a type of dressing that is made from polyurethane or silicone and is moderately absorbent. It is suitable for wounds that have light to moderate exudate, as it can absorb up to four times its weight in fluid. It also provides cushioning and insulation for the wound, and prevents bacterial contamination.

B. Hydrogel dressing is a type of dressing that is made from water or glycerin and is minimally absorbent. It is suitable for wounds that have minimal exudate, as it can only absorb up to 10% of its weight in fluid. It also provides hydration and cooling for the wound, and promotes autolytic debridement and granulation tissue formation.

A. Transparent film dressing is a type of dressing that is made from polyurethane and is non-absorbent. It is suitable for wounds that have no exudate, as it does not absorb any fluid. It also provides protection and visualization for the wound, and allows gas exchange and moisture vapor transmission.

A. To reduce edema and venous pressure B. To increase arterial blood flow and oxygenation C. To prevent infection and inflammation D. To stimulate nerve regeneration and sensation

Correct Answer is A

Explanation

Answer: A

To reduce edema and venous pressure is the rationale for elevating the leg above the level of the heart whenever possible. Venous ulcers are caused by chronic venous insufficiency, which impairs venous return and causes blood pooling, increased venous pressure, and edema in the lower extremities. Elevation helps to facilitate venous return and reduce edema and venous pressure, which improves wound healing.

B. To increase arterial blood flow and oxygenation is not the rationale for elevating the leg above the level of the heart whenever possible. Arterial ulcers are caused by arterial insufficiency, which impairs arterial blood flow and oxygenation to the lower extremities. Elevation may worsen arterial blood flow and oxygenation, as it reduces the effect of gravity on arterial perfusion.

C. To prevent infection and inflammation is not the rationale for elevating the leg above the level of the heart whenever possible. Infection and inflammation are complications of venous ulcers, but they are not directly affected by elevation. Infection and inflammation are prevented by proper wound care, such as cleansing, dressing, debridement, and antibiotic therapy.

D. To stimulate nerve regeneration and sensation doesn’t help with venous ulcers.

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client with a burn wound on the chest has a silver sulfadiazine (Silvadene) cream applied to the wound. Which adverse reaction should the nurse monitor for in this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is applying a dressing to a wound that has moderate to heavy exudate. Which of the following types of dressing would be most appropriate for this wound?

Correct Answer is D

Explanation

A client has a venous ulcer on the lower leg that is treated with compression therapy. The nurse instructs the client to elevate the leg above the level of the heart whenever possible. What is the rationale for this instruction?

Correct Answer is A

Explanation

A nurse is assessing a client with a pressure ulcer on the sacrum. Which of the following factors would increase the risk of infection in the wound?

A client with a surgical wound on the abdomen has a negative pressure wound therapy (NPWT) device attached to the wound. Which action should the nurse take when caring for this client?

A nurse is evaluating the effectiveness of negative pressure wound therapy (NPWT) on a client with a chronic wound. Which of the following outcomes would indicate that the therapy is successful?

client with a burn wound on the chest has a silver sulfadiazine (Silvadene) cream applied to the wound. Which adverse reaction should the nurse monitor for in this client?

A client has a wound on the lower leg that is covered with dry, yellow crusts. The nurse recognizes this as an indication of:

A nurse is caring for a client who has a surgical incision with sutures. The nurse observes that the edges of the wound are well approximated and there is minimal drainage from the site. The nurse documents this type of wound healing as:

A client is admitted with a burn injury that involves the epidermis and part of the dermis. The nurse knows that this type of burn is classified as: