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colleen colleen
wrote...
Valued Member
Posts: 17077
11 years ago
A patient with a burn injury is prescribed silver nitrate. Which of the following nursing interventions should be included for the patient?
Standard Text: Select all that apply.
1. Monitor daily weight.
2. Monitor the serum sodium levels.
3. Prepare to change the dressings every two hours.
4. Report black skin discolorations.
5. Push fluid intake.
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Sunshine ☀ ☼

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Replies
wrote...
Valued Member
11 years ago
1,2 -- Silver nitrate can cause hypotonicity. Manifestations of hypotonicity include weight gain and edema, which can be monitored by the determination of daily weights. Hyponatremia and hypochloremic alkalosis are common findings in patients treated with silver nitrate so serum sodium and chloride should be monitored. Changing the dressing every two hours is too frequent for the patient. Black discolorations of the skin are anticipated for patients using silver nitrate, and do not highlight a complication of therapy. Silver sulfadiazine, not silver nitrate, administration can result in the development of sulfa crystals in the urine so pushing fluid intake is not an appropriate action for this patient.
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