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ATI Medical Surgical exam

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WITH 175 Q&A 1. A client is prescribed 1% silver sulfadiazine cream (Silvadene) to be applied to her burn wounds twice daily. After 3 days of treatment, the nurse suspects an adverse reaction to th... e medication when the client develops which of the following? Leukopenia Transient leukopenia is a common adverse effect that appears after 2 to 3 days of treatment with silver sulfadiazine cream. 2. A client with a large healing deep partial thickness burn of the forearm and wrist is being discharged from the burn treatment clinic. Which of the following should the nurse tell the client to avoid for a year? Exposure to the sun A deep partial thickness burn occurs when the first layer of skin, the epidermis, is burned all the way through, and some level of burning occurs in the underlying layer of skin, called the dermis. A deep partial thickness burn can cause permanent scars, much like a full thickness burn. Exposure to sun of the newly formed and healing skin in the year following a burn injury can cause more intense scarring. 3. A nurse on a surgical unit is caring for four clients with healing wounds. Which of the four clints wounds should the nurse anticipate will heal by primary intention? Gastroplasty incision Would closure occurs by primary intention (surgical closure), secondary intention (left open to close by the reparative process), and tertiary closure (left open and surgically closed at a later date). With primary intention, a clean would is closed mechanically, leaving well approximated edges and minimal scarring. A surgical incision is an example of a wound that heals by primary intention. 4. A client is being discharged after surgical excision of a malignant melanoma. Which statement indicated to the nurse an understanding of the danger of ultraviolet light? CONTINUED....... [Show More]

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