Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

Which treatment can be used for managing bullous lesions?

1. Only surgery

2. Oral antibiotics

3. Topical and systemic corticosteroids

4. Only cold compresses

The correct answer is: Topical and systemic corticosteroids

Managing bullous lesions often requires an approach that addresses inflammation, provides symptom relief, and promotes healing. The use of topical and systemic corticosteroids serves this purpose effectively. Corticosteroids are anti-inflammatory medications that help reduce swelling, redness, and discomfort associated with bullous diseases. Topical corticosteroids can be applied directly to the affected area, providing localized relief, while systemic corticosteroids can be administered to manage more widespread or severe cases. This comprehensive approach is beneficial in treating conditions that cause bullous lesions, such as pemphigus vulgaris or bullous pemphigoid, as it helps to control the immune response that leads to blister formation. Other treatments, such as surgery, may address specific lesions but do not offer a broad management strategy for the underlying condition. Meanwhile, oral antibiotics are generally reserved for infections rather than for the lesions themselves unless there is a secondary infection present. Cold compresses might provide symptomatic relief but do not address the underlying cause or promote significant healing. Hence, the use of topical and systemic corticosteroids is the most effective treatment option for managing bullous lesions.