Which Interventions Should the Nurse Include in the Plan of Care

question 15

Multiple Choice

Which interventions should the nurse include in the plan of care for a pediatric client who suffered a full-thickness burn injury to decrease the risk for infection? Select all that apply.

• A) Using an age-appropriate assessment scale
• B) Covering the affected skin as much as possible
• C) Providing analgesics prior to wound care
• D) Keeping the skin as clean and dry as possible
• E) Clipping hair around the wound

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Definitions:

Haploid Gametes

Sex cells (sperm or ova) containing half the number of chromosomes of a normal cell, crucial for sexual reproduction.

Mesoderm

The middle layer of the three primary germ layers in the early embryo, which develops into muscles, bones, circulatory system, and other internal organs.

Ectoderm

The outermost layer of cells or tissue of an embryo in early development, giving rise to the epidermis and nervous system.

Endoderm

The innermost layer of cells or tissue of an embryo in early development, which gives rise to the lining of the digestive and respiratory systems.