How should the nurse proceed? A nurse must apply a wet-to-damp dressing over an ulcer on a client's left ankle.
A. Apply the saturated fine-mesh gauze dressings over the wound. B. Apply an occlusive dressing over the saturated fine-mesh gauze dressings. C. Cover the saturated fine-mesh gauze dressings with an elastic bandage. D. Pack the moistened fine-mesh gauze dressings into all depressions and grooves of the wound.
Lightly pack the moistened fine mesh gauze dressings so that all depressions and grooves of the wound. The wound should be assessed every time the dressing is changed. A nurse's care for a wound is treated with wet to damp dressing. Ideally, the dressing should be replaced every six hours.
Skin breakdown with ulcers involves treatment which includes four stages of healing: coagulation, inflammation, proliferation, and maturation. Wounds should be reassessed every dressing change to ensure that the proper products are used.
Pack the moistened fine-mesh gauze dressings into all depressions and grooves of the wound.-rationale: the nurse should pack the moistened fine-mesh gauze dressings into all depressions and grooves of the wound because necrotic tissue is usually more prevalent in those areas. the nurse should wring out excess moisture from saturated fine-mesh gauze dressings because saturated dressings wont dry properly. the nurse shouldnt apply an occlusive dressing or elastic bandage because these products can prevent air circulation and hinder drying of the fine-mesh gauze.client needs category: physiological integrityclient needs subcategory: physiological adaptationcognitive level: applicationreference: ellis, j.r., and bentz, p.m. modules for basic nursing skills, 7th ed. philadelphia: lippincott williams & wilkins, 2007, p. 753.