Burns and Burn Injury Q 7 - Gyan Darpan : Learning Portal
Get GK Updates on WhatsApp

Post Top Ad

Friday, 1 April 2022

Burns and Burn Injury Q 7

The nurse is caring for a client with a burn wound on the left knee and an autograft and skin grafting was performed. Which of the following activities will be prescribed for the client post-op?
    A. Elevation and immobilization of the affected leg.
    B. Placing the affected leg in a dependent position.
    C. Dangling of legs.
    D. Bathroom privileges.

Correct Answer: A. Elevation and immobilization of the affected leg.

Autograft placed on the lower extremity requires elevation and immobilization for at least 3-7days. This period of immobilization allows the autograft time to adhere to the wound bed. Clinically, skin grafts are secured into place and often bolstered until postoperative day 5 to 7 to allow the skin graft to go through the above steps, ensuring the best skin graft take.

Option B: Do not place the affected leg in a dependent position. Any buildup of fluid between the split-thickness skin graft and wound bed will jeopardize skin graft take, including seroma, hematoma, and infection. Shear or traction injury also disrupts skin graft healing.
Option C: Dangling of legs puts the affected site into a dependent position, which can cause a build-up of fluid that jeopardizes the skin graft. The graft can have incomplete (less than 100%) take or complete nontake.
Option D: Split-thickness skin grafts typically become adherent to the recipient wound bed 5 to 7 days following skin graft placement. The dressings placed intraoperatively are kept in place until 5 to 7 days postoperatively to minimize shear and traction to the healing skin graft.

No comments:

Post a Comment

Post Top Ad