On a client's admission to the hospital, the nurse notes that the client has a yellow sacral decubitus ulcer. The nurse anticipates that the most appropriate wound treatment would be
A) applying antibiotic ointment.
B) surgical removal of eschar.
C) using wet-to-dry dressings.
D) vigorous cleansing with a Water Pik.

Question

Quizplus · Accepted Answer

Yellow material in the wound base is a sloughy, necrotic type of material. Before a wound can heal, necrotic tissue must be removed. Mechanical debridement can be accomplished by using wet-to-dry dressings. Antibiotic ointment will not remove the debris. This wound does not have eschar, which is black and leathery in appearance. Vigorous cleaning with a Water Pik might lead to tissue damage as a result of high water pressure and should be avoided.

On a Client's Admission to the Hospital, the Nurse Notes