For which client should the nurse consider applying a transparent film for wound care?
1. The client with a postoperative wound held together by sutures
2. A client with a stage I pressure ulcer
3. The client with a venous stasis ulcer
4. A client with a highly exudative wound
2
Rationale 1: The client with a postoperative wound would not be a candidate for a transparent film, due to the risk of removing or applying pressure to the sutures or staples, and would be better suited for an impregnated nonadherent dressing.
Rationale 2: The client with a stage I pressure ulcer might benefit from a transparent film.
Rationale 3: A clear, absorbent acrylic dressing would be best for the client with a venous stasis ulcer.
Rationale 4: Polyurethane foams would be best for the wound with a large amount of exudate.
Global Rationale: The client with a stage I pressure ulcer might benefit from a transparent film. The client with a postoperative wound would not be a candidate for a transparent film, due to the risk of removing or applying pressure to the sutures or staples, and would be better suited for an impregnated nonadherent dressing. A clear, absorbent acrylic dressing would be best for the client with a venous stasis ulcer, and polyurethane foams would be best for the wound with a large amount of exudate.
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