Following surgical debridement, a patient with third-degree burns ...

[scienceeasy]

Following surgical debridement, a patient with third-degree burns does not bleed. What does the nurse understand about this situation?
 
  1. The procedure will need to be repeated.
  2. The patient will no longer need this procedure.
  3. The patient will need to be premedicated prior to the next procedure.
  4. The patient should have an escharotomy instead.

Question 2

A patient with third-degree burns is prescribed gastrointestinal medication. How should the nurse explain the primary action of this medication?
 
  1. It prevents the formation of a Curling ulcer.
  2. It treats a preexisting duodenal ulcer.
  3. It ensures adequate peristalsis.
  4. It has antiemetic properties.

[yuyiding]

Answer to Question 1

Correct Answer: 1
Surgical debridement is the process of excising the burn wound by removing thin slices of the wound to the level of viable tissue. If bleeding does not occur after the procedure, it will be repeated. It is an assumption that patients having debridement all require premedication. An escharotomy involves removal of the hardened crust covering the burned area.

Answer to Question 2

Correct Answer: 1
Dysfunction of the gastrointestinal system is directly related to the size of the burn wound. This can lead to a cessation of intestinal motility, which causes gastric distention, nausea, vomiting, and hematemesis. Stress ulcers, or Curling ulcers, are acute ulcerations of the stomach or duodenum that form following the burn injury. There is no evidence of a preexisting duodenal ulcer and no mention of nausea or vomiting. Although peristalsis is desired, it is not the primary area of gastrointestinal concern.