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    Ati Lpn Comprehensive Predictor 2023 Proctored Exam

    A nurse is contributing to the discharge plan for a client who had a skin graft of the upper extremities following a full-thickness burn. Which of the following instructions should the nurse include in the discharge plan?

    Explanation & Rationale

    A. Eat a low-protein diet until scar tissue has matured: Protein is essential for wound healing, collagen synthesis, and tissue repair after a burn. A low-protein diet would impair recovery and increase the risk of delayed graft healing. B. Maintain the affected extremities in a sling during the day: While elevation may be indicated temporarily to reduce edema, prolonged immobilization in a sling is not recommended for upper extremity grafts because it can limit mobility and increase stiffness. C. Expose the skin graft to direct sunlight: Direct sunlight can damage newly healed grafts, cause hyperpigmentation, and increase the risk of sunburn. Clients should avoid direct sun exposure and use protective clothing or sunscreen once the graft has matured. D. Wear pressure support garments: Pressure garments help minimize hypertrophic scarring, promote proper collagen remodeling, and improve the appearance and function of the grafted area. They are a standard part of burn rehabilitation and scar management.

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