On inspection of the patient's wound, the nurse notes that it appears infected and has a large amount of exudate. Which of the following is an appropriate dressing for the nurse to select based on this wound assessment?
a. Foam
b. Hydrogel
c. Hydrocolloid
d. Transparent film
A
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A Foam dressings are useful for wounds with large amounts of drainage or to assist with autolytic debridement because they can be left in place for as long as seven days. This would be the most appropriate type of dressing for this wound.
B A hydrogel dressing donates moisture to the wound bed. This type of dressing hydrates the wound and absorbs some smaller amounts of exudates, but it would not be appropriate for a wound with a large amount of exudate.
C A hydrocolloid dressing is adhesive and occlusive. This type of dressing supports healing in clean, granulating wounds, and is most useful on shallow to moderately deep wounds. It should not be used in heavily draining wounds or full-thickness or infected wounds.
D Transparent film traps the wound's moisture over the wound, providing a moist environment. It is used for small, superficial wounds. Transparent film is not appropriate for a wound with a large amount of exudate.
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