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    Pharmacology Proctored exam 1

    A client with a second degree burn on their arm is scheduled for a bedside debridement of the non-viable tissue. What is the priority nursing intervention 30 minutes prior to the procedure?

    Explanation & Rationale

    A. Weighing the client in bed: While monitoring weight can be important for overall fluid balance and nutritional assessment in burn patients, it is not directly related to preparing the client for a debridement procedure. It does not address the immediate pain or procedural needs that are a priority before debridement. B. Keeping the client NPO: NPO status is necessary if sedation or anesthesia will be used during the procedure, but for a bedside debridement that may be performed with local analgesia, strict NPO may not always be required. Ensuring comfort and pain control is more urgent immediately prior to the procedure. C. Administering an analgesic: Debridement of non-viable tissue is painful and can cause significant discomfort. Administering an analgesic 30 minutes prior ensures adequate pain control during the procedure, reducing the client’s stress response, preventing physiological complications from pain, and promoting cooperation. Pain management is a priority nursing intervention directly related to the safety and comfort of the client. D. Obtaining written consent: Informed consent is essential and must be obtained before any procedure. However, this is completed well in advance of the procedure rather than immediately prior. Ensuring the client’s comfort with analgesia takes priority in the 30 minutes before the debridement begins.

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