Introduction to Skin Integrity and Basic Wound Care
Introduction to Skin Integrity and Basic Wound Care ( 9 Questions)
client with a burn wound on the chest has a silver sulfadiazine (Silvadene) cream applied to the wound. Which adverse reaction should the nurse monitor for in this client?
No explanation
No explanation
This is not a common adverse reaction of silver sulfadiazine (Silvadene). However, the client with a burn wound may have hyperglycemia due to stress, inflammation, or infection. The nurse should monitor the blood glucose level regularly and administer insulin as prescribed.
Rationale: Silver sulfadiazine (Silvadene) is a topical antimicrobial agent used to prevent or treat infection in burn wounds. The nurse should monitor for hypersensitivity or allergic reaction, such as rash, itching, swelling, or difficulty breathing; and leukopenia or decreased white blood cell count, which can increase the risk of infection. The nurse should obtain a baseline complete blood count (CBC) before applying the cream and repeat it every few days during treatment.
Correct answer: D) A and B.
Rationale: Silver sulfadiazine (Silvadene) is a topical antimicrobial agent used to prevent or treat infection in burn wounds. The nurse should monitor for hypersensitivity or allergic reaction, such as rash, itching, swelling, or difficulty breathing; and leukopenia or decreased white blood cell count, which can increase the risk of infection. The nurse should obtain a baseline complete blood count (CBC) before applying the cream and repeat it every few days during treatment.
Incorrect option:
C) Hyperglycemia or increased blood glucose level. - This is not a common adverse reaction of silver sulfadiazine (Silvadene). However, the client with a burn wound may have hyperglycemia due to stress, inflammation, or infection. The nurse should monitor the blood glucose level regularly and administer insulin as prescribed.