The nurse is caring for a patient with a necrotic hip wound. Which dressing would be the best choice for the nurse to use on this type of wound to help with debridement?
a. Dry gauze
b. Transparent film
c. Hydrogel
d. Hydrocolloid
C
Hydrogel dressings are available in sheets or in a gel in a tube (amorphous). They contain a high percentage of water and are indicated for wounds that require moisture, either a wound with granulation (maintaining the moist wound environment needed for healing) or a wound that has a high percentage of necrotic tissue (the hydrogel facilitates debridement by softening the dead tissue). Gauze dressings are best for wounds with moderate drainage, deep wounds, undermining, and tunnels. Transparent film dressings are used as a primary dressing in wounds with minimal tissue loss that have very little wound drainage. Hydrocolloid dressings are used for stage I, II, and III pressure ulcers.
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