The wound care nurse prepares to dress the clients' wounds. Which wound should receive a transparent film dressing?

1. Clean, superficial laceration
2. Deep leg ulcer with infection
3. Puncture wound with bleeding
4. Large laceration over eyebrow


1
1. An indication for a transparent film dressing includes a clean, superficial laceration because transparent dressings adhere to wounds and are nonabsorbent.
2. A transparent dressing is contraindicated for a deep ulcer because the dressing is adherent; in addition, a deep ulcer most likely drains exudate or requires debride-ment, contraindicating the use of the dressing.
3. The nurse avoids using the transparent dressing for the bleeding puncture wound because, first, the nurse applies a pressure dressing to stop the bleeding and then dresses the wound with an absorbent dressing to collect subsequent drainage.
4. Because the dressing is adherent, the nurse avoids using a transparent dressing over a large laceration. The laceration is likely to require sutures or Steri-Strips to close the wound, so the nurse avoids using a dressing that can pull on the fragile wound edges.

Nursing

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