The correct answer is option C – Debridement If the nurse noticed necrotic tissues while changing the dressing, the physician is likely to order debridement of the necrotic tissue on the edge of the wound. Debridement is the process of removing dead, damaged, or infected tissue to improve the healing potential of the remaining healthy tissue.
If the necrotic tissue is not removed, it may prevent would healing of the remaining healthy parts. Incision, drainage, and culture will not remove the necrotic tissue on the wound. This means option A and option B are incorrect. The physician might order irrigation with an antibiotic solution to treat infections, but this will not remove the necrotic tissue. The only debridement can remove the dead tissue.
Friction from something rubbing against someone’s skin can cause a pressure ulcer. Usually the ulcer or sore occurs because the skin is over a bony part of the body. The bony part will stick out and that may cause issues with the rubbing.
A physician will most likely have the nurse apply a dressing to the ulcer in order for the ulcer to not get infected. Then the nurse will change the dressing frequently. If the nurse notices that necrotic tissue is forming on the edges of the wound, she will be aware that the tissue is dying. The nurse will inform the physician about the problem and a procedure will be done called debridement to remove the dead tissue.
Debridement-rationale: necrotic tissue prevents wound healing and must be removed. this is accomplished by debridement. incision and drainage, culture, or irrigation wont remove necrotic tissue. incision and drainage drain a wound abscess. a wound culture indentifies organisms growing in the wound and helps the physician determine appropriate therapy. if the wound is infected, the physician may order irrigation usually with an antibiotic solution to treat the infection and clean the wound.client needs category: physiological integrityclient needs subcategory: reduction of risk potentialcognitive level: applicationreference: smeltzer, s.c., and bare, b. brunner & suddarths textbook of medical surgical-nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 214.