Page 1250 - Saunders Comprehensive Review For NCLEX-RN

3. Drowsiness
4. Frequent urination
441. Silver sulfadiazine is prescribed for a client with a partial-thickness burn,
and the nurse provides teaching about the medication. Which statement
made by the client indicates a need for further teaching about the
treatments?
1. “The medication is an antibacterial.”
2. “The medication will help heal the burn.”
3. “The medication should be applied directly to the wound.”
4. “The medication is likely to cause stinging every time it is
applied.”
442. The camp nurse asks the children preparing to swim in the lake if they have
applied sunscreen. The nurse reminds the children that chemical sunscreens
are most effective when applied at which times?
1. Immediately before swimming
2. 5 minutes before exposure to the sun
3. Immediately before exposure to the sun
4. At least 30 minutes before exposure to the sun

Answers

433. Answer: 1

Rationale: Salicylic acid is absorbed readily through the skin, and systemic
toxicity (salicylism) can result. Symptoms include tinnitus, dizziness, hyperpnea,
and psychological disturbances. Constipation and diarrhea are not associated with
salicylism.
Test-Taking Strategy: Focus on the subject, systemic toxicity. Noting the name of
the medication will assist in directing you to the correct option if you can recall the
toxic effects that occur with acetylsalicylic acid (aspirin).
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Pharmacology: Integumentary: Antiinflammatory/Antiinfective
Health Problem: Adult Health: Integumentary: Inflammations/Infections
Priority Concepts: Clinical Judgment; Tissue Integrity
Reference: Burchum, Rosenthal (2016), p. 1279.

434. Answer: 2, 3, 5

Rationale: The client should be instructed to avoid sun exposure between the
hours of brightest sunlight: 10 a.m. and 4 p.m. Sunscreen, a hat, opaque clothing, and
sunglasses should be worn for outdoor activities. The client should be instructed to
examine the body monthly for the appearance of any cancerous or precancerous
lesions. Sunscreen should be applied 30 minutes to 1 hour before sun exposure, and
reapplied every 2 to 3 hours, and after swimming or sweating; otherwise, the

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