An enterostomal therapy nurse is caring for a postoperative client with a gaping wound. Which nursing measure is most helpful when a wound dressing adheres to the wound bed?
A) Place a transparent dressing between the wound and dressing.
B) Place an emollient based ointment on the wound bed.
C) Use normal saline to soak the dressing for removal.
D) Allow the dressing to dry and release the wound bed.
C
Feedback:
When a dressing adheres to the wound bed, using normal saline to moisten the dressing material can loosen the dressing for easier dressing removal without damaging the new tissue or causing discomfort. The transparent dressing and ointment are not helpful in assisting with dressing removal. Allowing the dressing to dry promotes wound adherence.
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