The wound care nurse prepares to dress the wounds of four patients. Which wound should receive a transparent film dressing?
a. A clean, superficial laceration
b. A deep leg ulcer with infection
c. A puncture wound with bleeding
d. A large laceration over the eyebrow
A
An indication for a transparent film dressing includes a clean, superficial laceration because transparent dressings adhere to wounds and are nonabsorbent. A transparent dressing is contrain-dicated for a deep ulcer because the dressing is adherent; in addition, a deep ulcer most likely drains exudate or requires débridement, contraindicating the use of the dressing. The nurse avoids using the transparent dressing for the bleeding puncture wound because he or she first ap-plies a pressure dressing to stop the bleeding and then dresses the wound with an absorbent dressing to collect subsequent drainage. Because the dressing is adherent, the nurse avoids using a transparent dressing over a large laceration. The laceration is likely to require sutures or Ste-ri-Strips to close the wound; thus the nurse avoids using a dressing that can pull on the fragile wound edges.
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