Nokea
Which is a disadvantage of surgical debridement?
- A. Scarring
- B. Bleeding
- C. Loss of function
- D. Contractures
Correct Answer: B
Rationale: A disadvantage of surgical debridement is bleeding. Scarring, loss of function, and contractures are not disadvantages of surgical debridement.
You may also like to solve these questions
Following a burn to a large area of the body, the client receives an Oasis porcine graft. Which statement by the client indicates an understanding of the use of this grafting material?
- A. This graft contains material obtained from a cow.
- B. This graft will not become a permanent part of my skin.
- C. This graft was applied with a spray gun.
- D. This graft was harvested from another human.
Correct Answer: B
Rationale: A xenograft, such as Oasis, is a temporary cover that will be rejected in days to weeks and will need to be replaced or removed at that time. A porcine graft originates from a pig. Autologous skin cell isolation grafting requires a 5 cm x 5 sample of skin that is separated and sprayed on the wound. Cadaver skin and or stem cells from umbilical cord blood are grafting material that is harvested from another human.
A client is brought to the emergency department after sustaining a serious burn. The nurse understands that the focused management of which burn zone is of greatest concern?
- A. Zone in burn center
- B. Zone of coagulation
- C. Zone of hyperemia
- D. Zone of stasis
Correct Answer: D
Rationale: The zone of stasis lies outside the burn center and zone of coagulation. This is where the blood vessels are damaged, but tissue has the potential to survive with proper management. The center zone or zone of coagulation is the deepest area of injury and is considered the zone of irreversible damage, placing the focus on saving the surrounding tissues. The zone of hyperemia is the area of least injury.
A client is brought to the emergency department with burns in irregular shapes scattered over multiple areas of the body. Which is the best method for the nurse to obtain a quick assessment of the total body surface area of the burn?
- A. Rule of nines
- B. Use client's palm size
- C. Parkland formula
- D. Lund and Broweder burns assessment
Correct Answer: B
Rationale: A quick assessment technique to use to evaluate an area of burn that is not restricted to one portion of the body is by using the client's palm size to approximate the total body surface. The palm is approximately 1% of a person's TBSA. The Parkland formula determines fluid resuscitation needs. Lund and Broweder burns assessment provides a more precise estimate for determining TBSA that is burned and is especially more specific in children. The rule of times quantitates burns that involve entire sections of the body, not scattered burns.
The nurse is providing education to the client with multiple burns and lists the options for skin grafting and application techniques. Which is the primary benefit for using an autograft slit graft versus other types of grafts?
- A. Less scarring
- B. Less discomfort
- C. Speeds healing
- D. Rejection is unlikely.
Correct Answer: D
Rationale: In an autograft slit graft, the skin is harvested from the client's buttocks or thighs. Rejection is less likely with this type of graft because the donor and recipient are the same. There will be scarring at both the donor and recipient sites, and added discomfort is associated from the donor site. Because the slit graft is expanded through a meshing device, the scarring will appear as a mesh. Healing is delayed due to need for two wounds.
During the recovery of an extensive burn, the client is complaining about wearing the tight-fitting custom garment. What is an appropriate response by the nurse?
- A. Perhaps the garment should be resized.
- B. The garment acts as a skin layer and prevents infection.
- C. A snug fit is needed to minimize scarring and to smooth the skin.
- D. The garment can be removed for an hour each day.
Correct Answer: C
Rationale: The forming of burn scars can be minimized by the use of pressure dressings and custom-fitted garments that apply continuous pressure. Garments need to be snug in order to be effective. These garments are worn for 23 hours a day and may be prescribed for as long as 2 years. Prevention of infection is not indicated with use.