Author Question: A patient who is being treated with topical mafenide acetate for third-degree burns is demonstrating ... (Read 19 times)

Beheh · **on:** Jun 25, 2018

A patient who is being treated with topical mafenide acetate for third-degree burns is demonstrating facial and neck edema. What does the nurse realize is the most likely reason?

1. The patient is developing hypersensitivity to the medication.
2. The patient is reacting positively to the medication.
3. The patient needs an increase in dosage of the medication.
4. The patient is not responding to the medication.

Question 2

The nurse is caring for a patient with third-degree burns and notes a reduction in the serum potassium level. The nurse recognizes that this finding is consistent with which event?

1. the resolution of burn shock
2. the onset of burn shock
3. the onset of renal failure
4. the onset of liver failure

macmac · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
Approximately 35 of patients develop hypersensitivity to mafenide acetate, which can manifest as facial edema. Facial and neck edema is considered an adverse reaction. The information presented is inadequate to assess whether the dosage should be increased.

Answer to Question 2

Correct Answer: 1
Potassium levels are initially elevated at the onset of burn shock but decrease after burn shock resolves as fluid shifts back to intracellular and intravascular compartments. Reduced potassium levels are not indicators of the onset of renal or liver failure.