A patient with a deep partial thickness burn is prescribed wet to dry gauze dressings. Which type of debridement is the nurse performing with this dressing?
a. Surgical
b. Chemical
c. Mechanical
d. Escharotomy
ANS: C
Mechanical debridement can involve the use of scissors and forceps to manually excise loose nonviable tissue, or the use of wet-to-moist or wet-to-dry fine-mesh gauze dressings. A. Surgical debridement is the excision of full-thickness and deep partial-thickness burns. B. Chemical debridement involves the use of a proteolytic enzymatic debriding agent that digests necrotic tissue. D. An escharotomy is a linear excision through the eschar to the superficial fat that allows for expansion of the skin and return of blood flow or chest expansion.
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