What is the nursing action related to the applying of biologic or ...

[Haya94]

What is the nursing action related to the applying of biologic or synthetic skin coverings for a child with partial-thickness burns of both legs?
 
  a. Splint the legs to prevent movement.
  b. Observe wounds for signs of infection.
  c. Monitor closely for manifestations of shock.
  d. Examine dressings for indications of bleeding.

Question 2

What is an effective strategy to reduce the stress of burn dressing procedures?
 
  a. Involve the child and give choices as feasible.
  b. Explain to the child why analgesics cannot be used.
  c. Reassure the child that dressing changes are not painful.
  d. Encourage the child to master stress with controlled passivity.

[wshriver]

Answer to Question 1

ANS: B
When applied early to a superficial partial-thickness injury, biologic dressings stimulate epithelial growth and faster wound healing. If the dressing covers areas of heavy microbial contamination, infection occurs beneath the dressing. In the case of partial-thickness burns, such infection may convert the wound to a full-thickness injury. Infection is the primary concern when biologic dressings are used.

Answer to Question 2

ANS: A
Children who have an understanding of the procedure and some perceived control demonstrate less maladaptive behavior. They respond well to participating in decisions and should be given as many choices as possible. Analgesia and sedation can and should be used. The dressing change procedure is very painful and stressful. Misinformation should not be given to the child. Encouraging the child to master stress with controlled passivity is not a positive coping strategy.

[Haya94]

Thanks for the timely response, appreciate it

[Jossy]

TYSM