The nurse notes black necrotic tissue on the client's wound. Which term should the nurse use when documenting this finding?
1. Debridement
2. Eschar
3. Alginate
4. Purulence
2
Rationale 1: Debridement is the process of removing dead tissue.
Rationale 2: Eschar is black necrotic tissue.
Rationale 3: Alginate is a fluid-absorbing substance that can be placed in highly exudative wounds to absorb the drainage.
Rationale 4: Purulence is the result of wound infection.
Global Rationale: Eschar is black necrotic tissue. Debridement is the process of removing dead tissue. Alginate is a fluid-absorbing substance that can be placed in highly exudative wounds to absorb the drainage. Purulence is the result of wound infection.
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