For which client would the nurse consider applying a transparent ...

[Chloeellawright]

For which client would the nurse consider applying a transparent film for wound care?
 
  1. The client with a postoperative wound held together by sutures
  2. A client with a stage I pressure ulcer
  3. The client with a venous stasis ulcer
  4. A client with a highly exudative wound

Question 2

The nurse notes black necrotic tissue on the client's wound. Which term is appropriate for the nurse to use when documenting this finding?
 
  1. Debridement
  2. Eschar
  3. Alginate
  4. Purulence

[Liddy]

Answer to Question 1

Correct Answer: 2

The client with a stage I pressure ulcer might benefit from a transparent film. The client with a postoperative wound would not be a candidate for a transparent film, due to the risk of removing or applying pressure to the sutures or staples, and would be better suited for an impregnated nonadherent dressing. A clear, absorbent acrylic dressing would be best for the client with a venous stasis ulcer, and polyurethane foams would be best for the wound with a large amount of exudate.

Answer to Question 2

Correct Answer: 2

Eschar is black necrotic tissue. Debridement is the process of removing dead tissue. Alginate is a fluid-absorbing substance that can be placed in highly exudative wounds to absorb the drainage. Purulence is the result of wound infection.

[Chloeellawright]

Gracias!

[komodo7]

TYSM