章节:The Client with Health Problems of the Integumentary System

SC
正确指数:0% 正确的次数:0 错误的次数:2 7151---The nurse is assessing an 80-year-old client who has scald burns on the hands and both forearms (first- and second-degree burns on 10% of the body surface area). What should the nurse do first?

Saunders Comprehensive Review for the NCLEX-RN® Examination, 7e (Saunders Comprehensive Review for Nclex-Rn)

1. Clean the wounds with warm water.
2. Apply antibiotic cream.
3. Refer the client to a burn center.
4. Cover the burns with a sterile dressing.

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正确答案:
3. Refer the client to a burn center.
解释 :
The nurse should have the client transported to a burn center. The client’s age and the extent of the burns require care by a burn team, and the client meets triage criteria for referral to a burn center. Because of the age of the client and the extent of the burns, the nurse should not treat the burn. Scald burns are not at high risk for infection and do not need to be cleaned, covered, or treated with antibiotic cream at this time.