A new nurse performs a dressing change on a stage II left heel pressure ulcer. Which action by the new nurse indicates a need for further teaching about pressure ulcer care?
a. The new nurse uses a hydrocolloid dressing (DuoDerm) to cover the ulcer.
b. The new nurse inserts a sterile cotton-tipped applicator into the pressure ulcer.
c. The new nurse irrigates the pressure ulcer with sterile saline using a 30-mL syringe.
d. The new nurse cleans the ulcer with a sterile dressing soaked in half-strength peroxide.
ANS: D
Pressure ulcers should not be cleaned with solutions that are cytotoxic, such as hydrogen peroxide. The other actions by the new nurse are appropriate.
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