Family Nurse Practitioner Exam

What is the initial management for a second-degree burn according to existing guidelines?

1. Irrigate with hydrogen peroxide and apply Silvadene cream

2. Irrigate with normal saline and apply Silvadene cream BID

3. Apply Neosporin ointment without irrigation

4. Unroof intact blisters without treatment

The correct answer is: Irrigate with normal saline and apply Silvadene cream BID

The correct approach to managing a second-degree burn focuses on wound care that promotes healing and minimizes the risk of infection. The initial management involves irrigating the burn with normal saline. This cleansing step removes debris and reduces the bacterial load, which is critical in preventing infection. After thoroughly irrigating the area, the application of Silvadene cream (silver sulfadiazine) is appropriate as it serves as an antimicrobial agent. Using it twice daily (BID) ensures sustained antimicrobial coverage, which helps in preventing infection in the damaged skin tissue. This regimen aligns with established protocols for managing superficial partial-thickness burns, which are characterized by the presence of blisters and pain. This method of care is reinforced in clinical guidelines, highlighting the importance of cleanliness and the use of antimicrobial treatments in the management of burns. The combination of saline irrigation and the application of Silvadene creates an optimal environment for healing while addressing potential complications.