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.
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.
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