A nurse manages wound care for clients on a medical-surgical unit. Which client wounds are paired with the appropriate treatments? (Select all that apply.)
a. Client with a left heel ulcer with slight necrosis - Whirlpool treatments
b. Client with an eschar-covered sacral ulcer - Surgical débridement
c. Client with a sunburn and erythema - Soaking in warm water for 20 minutes
d. Client with urticaria - Wet-to-dry dressing changes every 6 hours
e. Client with a sacral ulcer with purulent drainage - Transparent film dressing
ANS: A, B
Necrotic tissue should be removed so that healing can take place. Whirlpool treatment can gently remove the necrosis. A wound covered with eschar most likely needs surgical débridement. Warm water would not be recommended for a client with erythema. A wet-to-dry dressing and a transparent film dressing are not appropriate for urticaria or pressure ulcers, respectively.
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