A patient is scheduled to receive a meshed skin graft to begin closing a major burn injury. How would the nurse explain the rationale for using a meshed graft?
1. "Meshing allows the graft to cover a larger area.".
2. "Meshing improves the look of the healed wound.".
3. "Meshing increases the thickness of the graft.".
4. "Meshing holds the serous fluid next to the wound.".
1
Rationale 1: Meshing a graft means cutting holes in the harvested skin, which allows it to be stretched over a greater surface area. The meshed skin graft can be enlarged two to nine times its original size, depending on the size of the holes.
Rationale 2: Meshed skin grafts heal with the diamond pattern remaining for the rest of the patient's life; they are not as cosmetically pleasing as sheet grafts.
Rationale 3: Meshing does not increase the thickness of the graft.
Rationale 4: Meshing allows for drainage of this fluid, which is an advantage of using meshed grafts.
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