Following surgical debridement, a patient with third-degree burns does not bleed. What does the ...

The 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.

The 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.

The answer to question 3

Correct Answer: 1
Approximately 35 of patients develop hypersensitivity to mafenide acetate, which can manifest as facial edema. Facial and neck edema is considered an adverse reaction. The information presented is inadequate to assess whether the dosage should be increased.

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