A patient's 4 ? 3-cm leg wound has a 0.4 cm black area in the center of the wound surrounded by yellow-green semiliquid material. Which dressing should the nurse apply to the wound?
a. Dry gauze dressing (Kerlix)
b. Nonadherent dressing (Xeroform)
c. Hydrocolloid dressing (DuoDerm)
d. Transparent film dressing (Tegaderm)
ANS: C
The wound requires debridement of the necrotic areas and absorption of the yellow-green slough. A hydrocolloid dressing such as DuoDerm would accomplish these goals. Transparent film dressings are used for red wounds or approximated surgical incisions. Dry dressings will not debride the necrotic areas. Nonadherent dressings will not absorb wound drainage or debride the wound.
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