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RN Nursing · Burns · Practice question

A nurse is caring for a client who has both superficial and deep partial-thickness burns on his arms and legs. Which of the following infection control strategies should the nurse use? (Select all that apply.)

Answer & explanation

Correct: Shave or clip hair on skin areas adjacent to the burn wounds. · Change gloves between treatments of different burn wounds. · Clean the burn wounds at least every 24 hr.

Burn wound infection is a major cause of morbidity and mortality in clients with partial-thickness burns, so effective infection control strategies are essential. Shaving or clipping hair on skin adjacent to burn wounds is correct because hair harbors microorganisms, and its removal reduces the bacterial burden near the wound and facilitates wound care. Changing gloves between treatments of different burn wounds is correct because it prevents cross-contamination between wound sites — using the same gloves on multiple wounds could transfer organisms from one area to another. Cleaning burn wounds at least every 24 hours is correct; regular wound cleansing removes eschar, debris, and colonized bacteria, reducing the risk of invasive infection. Cleaning dedicated equipment every 48 hours is incorrect — equipment assigned exclusively to a client with burns should be cleaned more frequently than every 48 hours to prevent environmental contamination; daily cleaning at minimum is required. Rinsing burn areas with cool water after debridement is incorrect; cool water may be used in the immediate post-injury period to limit tissue damage, but rinsing with cool water after debridement is not a standard infection control measure and could promote hypothermia, which is a significant risk in burn clients because of impaired thermoregulation from loss of the skin's protective barrier.

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