A nursing student is cleaning and changing the dressing on a client's sacral ulcer. The student has vigorously cleansed the wound bed to remove all traces of the beefy, red tissue that existed in the wound bed. The student has most likely removed:
A) Necrotic tissue
B) Granulation tissue
C) Stem cells
D) The extracellular matrix
Ans: B
Feedback:
Granulation tissue is a glistening red, moist connective tissue that fills the injured area while necrotic debris is removed. Stem cells will not exist in a wound bed and necrotic tissue would not be bright red. The student has likely done the client a disservice by cleansing aggressively.
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