The nurse has reviewed plans for wound and scar management for the rehabilitation phase following an extensive burn with a patient and explains about complications that can occur including: Note: Credit will be given only if all correct choices

Question

and no incorrect choices are selected. Select all that apply. 1. Neuropathies
2. Wound breakdown
3. Contractures
4. Hypertrophic scarring
5. Osteomyelitis

Answer 1

1,2,3,4
Rationale 1: Neuropathies can develop as a result of scar formation, edema, or improper positioning of splints or dressings.
Rationale 2: The maturing burn scar is fragile and susceptible to wound breakdown from shearing and pressure.
Rationale 3: Wound contractures occur as a result of scar formation over joints, which limit joint movement.
Rationale 4: In areas of the wound with granulation tissue, collagen deposition can be disorganized, resulting in the development of a hypertrophic scar, which is erythematous and raised.
Rationale 5: Osteomyelitis (bone infection) is not considered a typical wound or scar complication during the rehab phase.