A wound that would require a high-pressure cleansing is one that has:
A. Granulation tissue present
B. Minimum serosanguineous exudate
C. Eschar or necrotic tissue present
D. Minimum residue from wound care products
C
C. Presence of necrotic tissue (eschar, fibrin slough), debris, or other particulate matter requires high-pressure cleansing.
A. Presence of granulation tissue or new epithelial cells requires low-pressure wound cleansing.
B. Presence of minimum serosanguineous exudate requires low-pressure wound cleansing.
D. Presence of minimum residue from wound care products requires low-pressure wound cleansing.
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