A nurse cares for a client who has facial burns. The client asks, ...

[jCorn1234]

A nurse cares for a client who has facial burns. The client asks, Will I ever look the same? How should the nurse respond?
 
  a. With reconstructive surgery, you can look the same.
  b. We can remove the scars with the use of a pressure dressing.
  c. You will not look exactly the same but cosmetic surgery will help.
  d. You shouldn't start worrying about your appearance right now.

Question 2

The registered nurse assigns a client who has an open burn wound to a licensed practical nurse (LPN). Which instruction should the nurse provide to the LPN when assigning this client?
 
  a. Administer the prescribed tetanus toxoid vaccine.
  b. Assess the client's wounds for signs of infection.
  c. Encourage the client to breathe deeply every hour.
  d. Wash your hands on entering the client's room.

[Shshxj]

Answer to Question 1

ANS: C
Many clients have unrealistic expectations of reconstructive surgery and envision an appearance identical or equal in quality to the preburn state. The nurse should provide accurate information that includes something to hope for. Pressure dressings prevent further scarring; they cannot remove scars. The client and the family should be taught the expected cosmetic outcomes.

Answer to Question 2

ANS: D
Infection can occur when microorganisms from another person or from the environment are transferred to the client. Although all of the interventions listed can help reduce the risk for infection, handwashing is the most effective technique for preventing infection transmission.