Question

A nurse in an emergency department is caring for a toddler who has a partial thickness burs on their right arm. Which of the following actions should the nurse take?

A)Cleanse the affected area with mild soap and water
B) remove any loose tissue that could cause infection.
C) both a & b
D) None

Answer 1

The nurse should cleanse the burn with mild soap and water and may apply a topical antibiotic ointment as required. Removing loose tissue is not generally a task for a nurse and should be managed by a more specialized healthcare provider.

Step-by-step explanation:

When attending to a toddler with a partial thickness burn, a nurse plays a crucial role in providing appropriate and careful wound care. The primary actions include cleansing the affected area with mild soap and water and applying a topical antibiotic if deemed necessary.

Cleaning the burn with mild soap and water is a fundamental step in preventing infection. This process helps remove debris and contaminants from the wound, reducing the risk of bacterial growth. It is essential to use a gentle approach to avoid causing further trauma to the injured skin. Patting the area dry after cleansing is preferable to minimize irritation.

The application of a topical antibiotic is another key aspect of wound care for partial thickness burns. This step aids in creating a barrier against potential pathogens and supports the healing process. However, it is important for the nurse to follow clinical guidelines and the healthcare provider's recommendations regarding the use of topical antibiotics to ensure appropriate and safe application.

Contrarily, the removal of loose tissue is not typically within the scope of a nurse's responsibilities. This task often requires a more advanced level of care and expertise, commonly provided by physicians or wound care specialists. Attempting to remove loose tissue without the necessary skills may lead to further injury and complications.

In summary, the nurse's role in caring for a toddler with a partial thickness burn involves gentle cleansing with mild soap and water, followed by the application of a topical antibiotic if indicated. It is crucial to adhere to established clinical guidelines and defer tasks requiring a higher level of expertise, such as the removal of loose tissue, to appropriately trained healthcare professionals to ensure optimal wound healing and prevent complications.