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

Which of the following is NOT a management strategy for bullous lesions?

1. Topical steroids

2. Anti-inflammatories

3. Immunosuppressives

4. Surgical excision as the only option

The correct answer is: Surgical excision as the only option

The correct response indicates that surgical excision as the only option is not a management strategy for bullous lesions. Management strategies for bullous lesions are typically focused on other methods aimed at controlling inflammation, reducing immune responses, and managing symptoms rather than solely relying on surgical intervention. Topical steroids, anti-inflammatories, and immunosuppressives are all valid approaches for treating bullous lesions, as they work by modulating the immune response or decreasing inflammation. Topical steroids can help reduce inflammation and provide symptomatic relief, while anti-inflammatories can target pain and swelling associated with these lesions. Immunosuppressive medications can be critical in conditions that involve an autoimmune response leading to the formation of bullae. In contrast, relying solely on surgical excision can overlook the underlying causes of bullous lesions, which often require medical management rather than just physical removal of the lesions themselves. Therefore, it is essential to utilize a more comprehensive approach that addresses both the symptoms and underlying conditions, making surgical excision not an appropriate standalone strategy.