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    Ati Lpn Comprehensive Predictor 2023 Proctored Exam

    A nurse is assisting with the plan of care for a client who has burns to his lower extremities. Which of the following actions should the nurse include in the plan?

    Explanation & Rationale

    A. Apply dressings with sterile gloves: Using sterile gloves during dressing changes prevents introducing pathogens to burn wounds, reducing the risk of infection. Maintaining a sterile environment is a key component of burn care to support healing and prevent sepsis. B. Use hydrogen peroxide for wound cleaning: Hydrogen peroxide is cytotoxic to healthy tissue and can delay wound healing. Mild, non-cytotoxic solutions such as sterile saline are preferred for cleansing burn wounds. C. Cleanse the most contaminated wounds first: Wound care should follow the principle of cleaning the least contaminated or newest wounds first to prevent cross-contamination. Starting with heavily contaminated areas increases the risk of spreading pathogens. D. Perform dressing changes every other day: Burn wounds require frequent assessment and dressing changes, often daily or more, depending on the wound type and exudate. Extending the interval to every other day may increase infection risk and delay healing.

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