Topical antimicrobial medication oTopical antimicrobial medications (particularly broad-spectrum antimicrobials) help prevent bacteria from entering the body when a client has an impairment of the protective covering of the skin, as with burns. It creates a protective barrier, along with the dressing, between bacteria and the exposed body tissues. This therapy helps prevent infection.Sertraline with St. John wortoTaking the antidepressant sertraline and the herbal supplement St. John’s wort concurrently but 2 hr apart puts the client at risk for a serious medication interaction.oTaking the antidepressant sertraline and the herbal supplement St. John’s wort together puts the client at risk for serotonin syndrome.oTaking the antidepressant sertraline with St. John’s wort, an herbal supplement used in the treatment of mild to moderate depression, can cause a serious medication interaction.oTaking the antidepressant sertraline and the herbal supplement St. John’s wort concurrently puts the client at risk for a serious medication interaction. Antacids will not prevent it.MVC- pain, bruising, swelling and displacement of bones oThe nurse should apply the safety and risk reduction priority-setting framework. This framework assigns priority to the factor or situation posing the greatest safety risk to the client. When there are several risks to client safety, the one posing the greatest threat is the highest priority. The nurse should use Maslow’s Hierarchy of Needs, the ABC priority-setting framework, or nursing knowledge to identify which risk poses the greatest threat to the client. The greatest risk to this client is impaired circulation to the limb from trauma and the resulting edema; therefore, the first action is to checkthe circulation, sensation, and movement distal to the level of the injury. If the nurse notes a weak or absent pulse distal to the injury, the limb’s circulation is compromised, and immediate action is critical.Education about LASIK surgeryoClients should not wear soft contact lenses for 2 to 3 weeks or hard contact lenses for 4 weeks prior to LASIK. They limit oxygen intake to the cornea, which can slow postoperative healing.oLASIK is a type of refractive laser eye surgery ophthalmologists perform to correct myopia, hyperopia, and astigmatism, which are common causes of nearsightedness. However, overcorrection or undercorrection of refractive errors is possible, so some clients will need prescription eyeglasses despite having had LASIK surgery.oThe client might receive sedation prior to the procedure and postoperatively might have blurry vision, tearing, and hypersensitivity to light.oFor some clients, vision is clear an hour after surgery; however, it can take up to 4 weeks for complete healing and optimal vision.