Skin Integrity And Wound Care Study Guide Graded A+

The nurse has collected blood from a client for laboratory analysis. Which dressing supply will the nurse select to cover the site from which the blood was drawn? a) gauze b) OpSite c) Montgomery strap d) Tegasorb {Ans: gauze Gauze dressings absorb blood or drainage. Montgomery straps are strips of tape with eyelets which are used to secure a gauze dressing that needs frequent changing; they are not necessary for this type of wound. Transparent dressings like OpSite are used to protect intravenous insertion sites. Hydrocolloid dressings like Tegasorb are used to used keep a wound moist.}A nurse is caring for a client who has a wound with a large area of necrotic tissue. The health care provider has ordered fly larvae to debride the wound. Which of the following types of debridement does the nurse understand has been ordered? a) Biosurgical debridement b) Mechanical debridement c) Enzymatic debridement d) Autolytic debridement {Ans: Biosurgical debridement Biosurgical debridement uses fly larvae to clear the wound of necrotic tissue. This is accomplished through an enzyme the larvae releases. Autolytic debridement involves using the client's own body to break down the necrotic tissue. Enzymatic debridement involves the use of synthetic enzymes