On changing the patient's dressing, the nurse notes that the wound appears to be granulating. Which one of the following is an appropriate noncytotoxic cleansing agent selected by the nurse?
a. Sterile saline
b. Hydrogen peroxide
c. Povidone-iodine (Betadine)
d. Sodium hypochlorite (Dakin's solution)
A
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A Pressure ulcers should be cleansed only with wound cleansers that are not cytotoxic, such as normal saline. Normal saline will not damage or kill cells such as fibroblasts and healing tissue.
B Hydrogen peroxide is cytotoxic and therefore should not be used to clean a wound that is granulating.
C Povidone-iodine (Betadine) is cytotoxic and therefore should not be used to clean a wound that is granulating.
D Sodium hypochlorite (Dakin's solution) is cytotoxic and therefore should not be used to clean a wound that is granulating.
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