A patient requires wound debridement. The nurse is aware that which of the following statements is correct regarding this procedure?
a. This procedure involves flushing debris from wounds.
b. This procedure involves the removal of nonviable necrotic tissue.
c. Mechanical methods involve direct surgical removal of the eschar layer of the wound.
d. Enzymatic debridement may be implemented independently by the nurse whenever it is required.
B
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A Irrigation is a method of delivering cleansing solution to a wound.
B Removal of necrotic tissue is necessary to rid the ulcer of a source of infection, to allow visualization of the wound bed, and to provide a clean base necessary for healthy tissue to regenerate.
C Mechanical methods include wet-to-dry dressings, wound irrigation, and whirlpool treatments. Surgical debridement involves direct surgical removal of the eschar layer of the wound.
D Enzymatic debridement requires a physician's order.
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