Final answer:
The nurse should instruct the client to wrap fingers individually, change the dressing frequently (not every 72 hours), and consider taking pain medication before dressing changes. Monitoring for infection signs and practicing proper hand hygiene are crucial for recovery.
Step-by-step explanation:
A nurse providing discharge instructions to a client with a partial thickness burn on the hand should emphasize wound care and infection prevention. The instructions include wrapping fingers with individual dressing to prevent maceration of the skin and allow monitoring of individual fingers for circulation issues, especially if swelling occurs. An important aspect of wound care is changing the dressing more frequently than every 72 hours, which may be daily or as recommended by the healthcare provider. Immobilizing the hand with a pressure dressing is not typically advised unless there is a specific medical indication. Instead, gentle movement is encouraged to maintain function and prevent stiffness. Pain management is crucial for patient comfort, so advising the client to take pain medication 30 minutes before changing the dressing can help alleviate discomfort associated with the procedure.
Monitoring for signs of infection, including increased redness, swelling, and pain, is critical. Infection can lead to further complications and hinder the healing process. A localized infection at a wound site, as seen with the patient in the clinical focus example, requires prompt medical attention and may warrant the use of antibiotics. Moreover, handwashing practices play a crucial role in preventing the spread of infection, both for healthcare providers and patients.