Certified Wound Ostomy Nurse (CWON) Practice Test

What is the primary management strategy for bullous lesions?

1. Antibiotic therapy

2. Only surgical intervention

3. Treat underlying conditions and inflammation

4. Observation and wait for healing

The correct answer is: Treat underlying conditions and inflammation

The primary management strategy for bullous lesions revolves around treating underlying conditions and inflammation. Bullous lesions, characterized by fluid-filled blisters, can arise from various etiologies, including infections, autoimmune disorders, and dermatoses. Simply addressing the lesions themselves without understanding the root cause may lead to recurrence or complications. By focusing on the underlying conditions contributing to the formation of bullous lesions, healthcare providers can implement appropriate therapies, such as corticosteroids for inflammatory causes or immunosuppressive agents for autoimmune conditions. This holistic approach aims to mitigate inflammation, decrease the formation of new lesions, and promote healing of existing ones. Observation and waiting for healing is not a comprehensive management strategy, as it may neglect the need for intervention to address the etiology. While surgical intervention might be necessary in some cases, such as for debridement or removal of large blisters, it is not the primary management focus. Infections can necessitate antibiotic therapy, but this is only relevant if an infection is present and is not a standalone strategy for managing all types of bullous lesions. Thus, addressing the underlying conditions is essential for effective management and prevention of future issues.