Deck 40: Treatment of Decubitus Ulcers and Burns

Question 1

Which of the following drugs may lead to electrolyte imbalance when used on burns?

A)Povidone-iodine
B)Bacitracin
C)Silver nitrate
D)Sulfur sulfadiazine

Answer 1

Silver nitrate

Question 2

Which of the following products is used to débride necrotic tissue?

A)Trypsin
B)Balsam Peru
C)Castor oil
D)Silver nitrate

Answer 2

Trypsin

Question 3

The risk of complication for burns is greatest when more than _____% of the body surface is burned.

A)25
B)35
C)40
D)50

Answer 3

25

Question 4

Burns that are characterized by destruction of both the epidermis and dermis are _____-degree burns.

A)first
B)second
C)third
D)fourth

Question 5

_____ may be used if the decubitus ulcer is not healing or continues to ooze after 2 weeks of proper cleansing and bandage changes.

A)Antifungal drugs
B)Antibacterial drugs
C)Topical cleansers
D)Dusting powders

Question 6

Why is papain useful for bulk débridement?

A)It acts as a bactericidal in any pH.
B)It has a broad pH,so it can help better break down dead skin.
C)It keeps the skin hydrated so it can heal itself.
D)It works effectively in a narrow pH,so it can better target débridement.

Question 7

Which of the following is a more accurate method to determine BSA burned?

A)Rule of nines
B)Rule of palms
C)Palmar method
D)Parklands method

Question 8

Which of the following drugs can be given to reduce hypermetabolic state associated with large burns?

A)Neomycin
B)Bacitracin
C)Prazosin
D)Propranolol

Question 9

Another name for a decubitus ulcer is a pressure sore.

Question 10

How is castor oil useful in treating wounds?

A)It promotes débridement of dead tissue.
B)It reduces the pH in the wound to help kill bacteria.
C)It reduces skin dehydration and allows epithelial cells to form a barrier.
D)It stimulates blood circulation in the wound.

Question 11

Which drug treatment for burns acts by destroying microbial protein and DNA?

A)Povidone-iodine
B)Bacitracin
C)Silver nitrate
D)Sulfur sulfadiazine

Question 12

Decubitus ulcers and other wound types are classified according to the _____ of the wound.

A)severity
B)diameter
C)color
D)location

Question 13

What can be used to promote débridement of necrotic tissue in dermal ulcers and severe burns?

A)Antibiotic injections
B)Sitz baths
C)Collagenase
D)Papain

Question 14

The most common sites that are more likely to develop decubitus ulcers are over _____.

A)soft tissue areas
B)bony prominences
C)exposed areas of the body
D)top of the head

Question 15

Which of the following explains how collagenase can be useful for débridement?

A)It improves epithelialization and helps keep the skin hydrated.
B)It is effective in a broad pH,so it can work in any wound.
C)It acts as a bactericidal,allowing the skin to heal itself.
D)It breaks up and removes necrotic skin tissue.

Question 16

In which stage of a decubitus ulcer has the wound extended through all layers of the skin?

A)Stage I
B)Stage II
C)Stage III
D)Stage IV

Question 17

The severity of a burn is determined by the _____ of the burn.

A)treatment
B)cause
C)site
D)extent and depth

Question 18

The most frequently used topical agent for burns is _____.

A)erythromycin
B)silver sulfadiazine
C)hydrocortisone
D)silver nitrate

Question 19

In which age group does the "rule of nines" work best?

A)Geriatrics
B)Adults
C)Adolescents
D)Children

Question 20

The most important principle of therapy for decubitus ulcers is _____.

A)to prevent initial skin damage that promotes ulceration
B)the application of skin protection
C)to prevent hydration
D)nutrition high in carbohydrates

Question 21

A second-degree burn is a full-thickness burn.

Question 22

Systemic absorption of iodine results in liver and thyroid dysfunction.

Question 23

Decubitus ulcers and burn wounds are completely different in their course of injury.

Question 24

All burned patients must receive appropriate tetanus prophylaxis.