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

question 23

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.

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