In what type of wound is a foam dressing contraindicated?
a. Shallow stage II ulcer
b. Exudative stage II ulcer
c. Wound that has tunneling
d. Wound that is infected
C
Foam dressings are not appropriate when there is wound tunneling because the dressing expands, which can enlarge the tunnels. International pressure ulcer guidelines recommend foam for use on exudative stage II and shallow stage II pressure ulcers. Foam dressings are also used to dress infected wounds.
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The nurse's comprehensive assessment of an older adult involves the assessment of the patient's gait. How should the nurse best perform this assessment?
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Which statement indicates that the client needs additional discharge teaching after gastric bypass surgery?
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