The family provides the wound care at home for the client's pressure ulcer. Which does the nurse recommend to the client's family for wound care?

Question

1. Witch hazel
2. Normal saline
3. Povidone-iodine
4. Hydrogen peroxide

Answer 1

2
2. The nurse recommends a wound care protocol for the client at home with a pres-sure ulcer, including normal saline solution because it is nonirritating to the tissues. If gentle debriding is necessary, the nurse includes instructions about a debriding agent, saline solution under low pressure (squirt from a syringe), or wound packing.
1 and 4. The nurse avoids recommending witch hazel and hydrogen peroxide because they are irritating to tissue and can damage granulation tissue.
3. The nurse avoids recommending povidone-iodine for wound care because it is as-sociated with increased rates of infection.