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ATI Medical Surgical Nursing, Care of Patients with Burns

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. The RN has assigned a client who has an open burn wound to the LPN. Which instruction is most important for the RN to provide the LPN? a. Administer the prescribed tetanus toxoid vaccine. b. A... ssess wounds for signs of infection. c. Have the client cough and breathe deeply. d. Wash hands on entering the client’s room. 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. DIF: Cognitive Level: Application/Applying or higher REF: N/A TOP: Client Needs Category: Safe and Effective Care Environment (Safety and Infection Control— Standard Precautions/Transmission-Based Precautions/Surgical Asepsis) MSC: Integrated Process: Nursing Process (Implementation) [Show More]

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