A client with burns on his groin has developed blisters. As the client is bathing, a few blisters break. The best action for nurse Ashley to take would be to:
a. remove the raised skin because the blister has already broken
b. wash the area with soap and water to disinfect it
c. apply a weakened alcohol solution to clean the area
d. clean the area with normal saline solution and cover it with a gauze dressing
Answer D.
The nurse should clean the area with a mild solution such as normal saline, and then cover it with a protective dressing. Soap and water and alcohol are too harsh. The body’s first line of defense has been broken when the blisters opened; removing the skin exposes a larger area to the risk of infection.
a. remove the raised skin because the blister has already broken
b. wash the area with soap and water to disinfect it
c. apply a weakened alcohol solution to clean the area
d. clean the area with normal saline solution and cover it with a gauze dressing
Answer D.
The nurse should clean the area with a mild solution such as normal saline, and then cover it with a protective dressing. Soap and water and alcohol are too harsh. The body’s first line of defense has been broken when the blisters opened; removing the skin exposes a larger area to the risk of infection.
Labels
Psychosocial Integrity