A client with pancreatitis develops hypocalcemia.
Which ECG finding should the nurse anticipate?

This question tests knowledge of silver sulfadiazine, a topical antimicrobial used in burn care. Understanding its mechanism, application techniques, and properties is necessary to evaluate the accuracy of the client's statements regarding its use and therapeutic effects.

Choice A rationale

Silver sulfadiazine is typically applied in a thin layer and may be left open to air or covered with a light dressing. Instructing that a dressing should never be used is incorrect and clinically inaccurate.

Choice B rationale

Silver sulfadiazine is a broad-spectrum antimicrobial agent. Its primary purpose is to prevent and treat sepsis in second-degree and third-degree burns by inhibiting the growth of microorganisms that could lead to systemic or local infection.

Choice C rationale

The medication should be applied to burned areas requiring antimicrobial protection. Applying the cream specifically to open areas prevents unnecessary skin irritation on intact skin while providing targeted treatment to vulnerable, damaged tissues prone to bacterial colonization.

Choice D rationale

Old ointment should be removed before reapplying a new layer, but a tongue blade is used for application, not removal. Removal is generally done by gentle cleansing with water or saline to avoid trauma.

Choice E rationale

Silver sulfadiazine is a white, water-soluble cream. It is not dark in color and is easily removed with water. The statement that it cannot be removed with water indicates a misunderstanding of the product's properties.

Choice F rationale

Silver sulfadiazine has effective antimicrobial properties against a wide range of gram-positive and gram-negative bacteria, as well as yeast such as Candida albicans. This broad coverage makes it a standard choice for burn wound management..

End-of-life care focuses on communication, psychological support, and advocacy. Knowledge of therapeutic communication and the stages of grief is required to provide holistic care that empowers the family while reducing the uncertainty and helplessness often associated with terminal illness.

Choice A rationale

Clarifying rationale reduces anxiety by providing the family with an understanding of how pain management promotes comfort. Knowledge of pharmacokinetics helps families accept that scheduled dosing prevents breakthrough pain, reducing their stress regarding the dying process.

Choice B rationale

Using the teach-back method ensures that the family accurately understands the complex medical information provided. This reduces frustration caused by misunderstandings or the cognitive impairment often associated with high stress and emotional exhaustion during terminal care.

Choice C rationale

Transparency regarding delays prevents feelings of neglect or abandonment. Explaining the medical reasoning behind schedule changes builds trust and ensures the family feels respected and involved in the care planning process during a vulnerable time.

Choice D rationale

Limiting interactions can make a family feel isolated or ignored during a crisis. While privacy is important, the nurse must remain available and present, as social isolation often increases the stress and fear associated with death.

Choice E rationale

Providing unlimited access to staff addresses the unpredictability of terminal illness and the family's need for reassurance. This support system minimizes frustration by ensuring that questions and physiological changes are addressed promptly by the healthcare team.