The nurse caring for a client receiving wet-to-dry dressings for mechanical debridement of a large wound would be aware that proper technique requires that the dressing should
a. be left in place about 12 hours.
b. be removed when it is totally dry.
c. cause slight bleeding when removed to be effective.
d. only be moist, not wet, when applied.
D
Mechanical debridement can be accomplished by the use of wet-to-dry dressings. A moist (not wet) dressing is positioned in the wound and held in place by an outer dressing or gauze wrap. As the dressing is removed it provides nonselective debridement. The dressing should only be left in place long enough for it to begin to dry (4-6 hours). Bleeding would indicate removal of granulation tissue.
You might also like to view...
What are anonymous sperm donors screened for? (Select all that apply.)
a. Particular physical features b. Genetic defects c. Infections d. High-risk behaviors e. Nationality
The client at 30 weeks' gestation is admitted with painless late vaginal bleeding. The nurse understands that expectant management includes which of the following?
1. Limiting vaginal exams to only one per 24-hour period. 2. Evaluating the fetal heart rate with an internal monitor. 3. Monitoring for blood loss, pain, and uterine contractibility. 4. Assessing blood pressure every 2 hours.
Antilipidemia drugs work by:
a. increasing absorption of bile, as well as cholesterol, in the small intestine. b. limiting hepatic production of cholesterol. c. lowering HDL, such as with nicotinic acid. d. suppressing blood clotting.
In reviewing the patient's record, the nurse notes that the patient has air in the subcutaneous tissue. The nurse validates that this patient has crepitus with which finding?
a. Asymmetric expansion of the chest wall on inhalation b. Increased transmission of vocal vibrations on auscultation c. Crackling sensation under the skin of the chest on palpation d. Coarse grating sounds heard over the mediastinum on inspiration