Summary
Summary ( 13 Questions)
A nurse is caring for a client who has a pressure ulcer on the sacrum. The nurse observes that the wound has yellow slough, red granulation tissue, and black eschar. The nurse should use which of the following types of dressings to debride the wound?
Reason: Hydrogel dressings are water-based gels that provide moisture and hydration to the wound bed. They are suitable for wounds that are dry and have minimal drainage, such as partial-thickness burns or radiation injuries.
Reason: Foam dressings are soft, absorbent pads that provide cushioning and insulation to the wound bed. They are suitable for wounds that have moderate to heavy drainage, such as venous ulcers or surgical wounds.
Reason: Alginate dressings are fiber-based dressings that form a gel when in contact with wound exudate. They are suitable for wounds that have heavy drainage or bleeding, such as diabetic ulcers or arterial ulcers.
Reason: Enzymatic dressings are topical agents that contain enzymes that break down necrotic tissue and slough in the wound bed. They are suitable for wounds that have mixed necrotic and viable tissue, such as pressure ulcers with yellow slough, red granulation tissue, and black eschar.
Choice A Reason: Hydrogel dressings are water-based gels that provide moisture and hydration to the wound bed. They are suitable for wounds that are dry and have minimal drainage, such as partial-thickness burns or radiation injuries.
Choice B Reason: Foam dressings are soft, absorbent pads that provide cushioning and insulation to the wound bed. They are suitable for wounds that have moderate to heavy drainage, such as venous ulcers or surgical wounds.
Choice C Reason: Alginate dressings are fiber-based dressings that form a gel when in contact with wound exudate. They are suitable for wounds that have heavy drainage or bleeding, such as diabetic ulcers or arterial ulcers.
Choice D Reason: Enzymatic dressings are topical agents that contain enzymes that break down necrotic tissue and slough in the wound bed. They are suitable for wounds that have mixed necrotic and viable tissue, such as pressure ulcers with yellow slough, red granulation tissue, and black eschar.