Certified Wound Care Nurse (CWCN) Practice Exam

In treating a patient diagnosed with herpes zoster, which treatment is considered the most appropriate when the patient reports severe pain?

1. Hydrocolloid dressing

2. Transparent film dressing

3. Burow's solution

4. Antibiotic ointment

The correct answer is: Burow's solution

The most appropriate treatment for a patient diagnosed with herpes zoster who reports severe pain is Burow's solution. This solution is a combination of aluminum acetate and water, commonly utilized for its astringent and anti-inflammatory properties. In the case of herpes zoster, known for causing painful, blister-like rashes, Burow's solution can help reduce inflammation and soothe the skin irritation. It acts by helping to dry the rash, alleviating itching and providing symptomatic relief for pain, which is a significant concern for patients with this condition. The other treatments listed—hydrocolloid dressings, transparent film dressings, and antibiotic ointments—serve different purposes. Hydrocolloid and transparent film dressings are more appropriate for wound management and protection of the skin but do not address severe pain directly. Antibiotic ointment is aimed at preventing infection but is not indicated for the pain associated with herpes zoster. Thus, Burow's solution stands out as the most effective option for managing severe pain in this patient scenario.