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A Nurse Is Caring for a Client Admitted to the Intensive

Question 265

Multiple Choice

A nurse is caring for a client admitted to the intensive care unit for toxic epidermal necrolysis.  Which interventions should be included in this client's care plan?  Select all that apply.


A) Administer prescribed eye lubricants on schedule
B) Apply sterile, moist dressings and ointments to denuded areas of skin
C) Implement reverse isolation precautions and strict aseptic technique
D) Keep room temperature warm to prevent shivering
E) Provide gentle massage as needed to relieve pain

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