A nurse is collecting data from a client who has macular degeneration. Which of the following findings should the nurse expect?

Rationale:

A. Cleanse the most contaminated wounds first: Wound care should begin with the cleanest area and progress to the most contaminated to reduce the risk of cross-contamination. Starting with the dirtiest wounds may spread infection to cleaner sites.

B. Use hydrogen peroxide for wound cleaning: Hydrogen peroxide can damage healthy tissue and delay healing. It is generally not recommended for burn wound care due to its cytotoxic effects on granulating tissue.

C. Perform dressing changes every other day: Dressing frequency depends on the type of burn, wound condition, and healthcare provider's orders. Some burn wounds require daily or even more frequent changes to prevent infection and promote healing.

D. Apply dressings with sterile gloves: Sterile technique is critical in burn care to prevent infection. Using sterile gloves during dressing application ensures the wound is protected from external contaminants during a vulnerable healing phase.

Rationale:

A. Orange juice: Orange juice contains minimal sodium and is typically recommended for clients needing low-sodium, high-potassium diets. It is not considered a significant source of sodium.

B. Canned green beans: Canned vegetables often contain added salt as a preservative, making them high in sodium. Unless labeled as low-sodium or no-salt-added, canned green beans are among the higher sodium food options.

C. Sweet potato: Sweet potatoes are naturally low in sodium and are more commonly recognized for their potassium and fiber content. They are suitable for low-sodium diets.

D. Cantaloupe: Cantaloupe is a low-sodium fruit, valued for its high water and potassium content. It is not a source of concern for clients with sodium restriction or imbalance.