Fentanyl and midazolam (Versed) are given before debridement of a ...

[james9437]

Fentanyl and midazolam (Versed) are given before debridement of a child's burn wounds. These drugs are important to:
 
  a. Promote healing.
  b. Prevent infection.
  c. Provide pain relief.
  d. Limit amount of debridement that will be necessary.

Question 2

Biologic dressings are applied to a child with partial-thickness burns of both legs. Nursing actions related to this include:
 
  a. Observing wounds for bleeding.
  b. Observing wounds for signs of infection.
  c. Monitoring closely for signs of shock.
  d. Splinting legs to prevent movement.

[Anton]

Answer to Question 1

ANS: C
Fentanyl and midazolam provide excellent intravenous sedation and analgesia to control procedural pain in children with burns.

Answer to Question 2

ANS: B
When applied early to a superficial partial-thickness injury, biologic dressings stimulate epithelial growth and faster wound healing. If the dressing covers areas of heavy microbial contamination, infection occurs beneath the dressing. In the case of partial-thickness burns, such infection may convert the wound to a full-thickness injury. Observing wounds for bleeding, monitoring for shock, and splinting legs are important, but infection is the primary concern when biologic dressings are used.