Author Question: A client with a burn injury is prescribed mechanical debridement of the wounds. Based on this data, ... (Read 34 times)

Coya19@aol.com · **on:** Jun 25, 2018

A client with a burn injury is prescribed mechanical debridement of the wounds. Based on this data, which should the nurse include in the client's plan of care?

Select all that apply.
A) Homograft
B) Application of a topical agent to dissolve necrotic tissue
C) Irrigation of the burn wounds
D) Application of wet-to-dry gauze dressings
E) Hydrotherapy

Question 2

The nurse is evaluating the adequacy of the burn-injured client's nutritional intake. Which laboratory value is the best indicator of nutritional status?

A) Creatine phosphokinase (CPK)
B) BUN levels
C) Hemoglobin
D) Albumin level

mcinincha279 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: C, D, E

Mechanical debridement is done by applying and removing wet-to-dry gauze dressings, using hydrotherapy, or using irrigation. Applying a topical agent to dissolve necrotic tissue is an example of enzymatic debridement. The application of a homograft is a type of dressing and not a type of debridement.

Answer to Question 2

Answer: D

Albumin level is used to indicate protein synthesis and nutritional status. Creatine phosphokinase is used to identify the presence of muscle injuries. BUN levels are used to evaluate kidney function. Hemoglobin levels will fluctuate with the stages of the burn injury, dependent upon the fluid status.