What type of dressing allows for multiple inspections and changes without disrupting the skin because the tape is left in place?
Tegaderm or Opsite
Abdominal pads held in place with paper tape
Retention
Montgomery straps
The Correct Answer is D
Choice A rationale
Tegaderm or Opsite dressings are transparent and adhesive, allowing for wound inspection without removal, but they do not involve tape that remains in place for multiple changes.
Choice B rationale
Abdominal pads held in place with paper tape would require the tape to be removed and replaced with each dressing change, which can disrupt the skin.
Choice C rationale
The term ‘retention’ is incomplete and does not specify a type of dressing. Retention typically refers to the ability to keep something in place, such as a dressing, but does not imply that the tape remains in place.
Choice D rationale
Montgomery straps are designed with ties that attach to an adhesive base that remains on the skin. This allows the dressing to be changed without removing and reapplying tape, thus preventing skin disruption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Applying hydrocolloids to the wound bed is not a form of mechanical debridement. Hydrocolloids are dressings that provide a moist environment and promote autolytic debridement but do not mechanically remove necrotic tissue.
Choice B rationale
Pulsating lavage is a form of mechanical debridement. It involves the use of a pressurized, pulsed solution to cleanse and remove debris and necrotic tissue from the wound bed, which is essential for the healing process of a stage 4 pressure injury.
Choice C rationale
Using a topical enzyme solution in the wound bed is a chemical, not mechanical, method of debridement. Enzymatic debridement uses proteolytic enzymes to break down necrotic tissue without affecting viable tissue.
Choice D rationale
Placing a transparent dressing over the pressure injury is not a form of debridement. Transparent dressings allow for oxygen exchange and protect the wound from infection, but they do not debride the wound.
Correct Answer is D
Explanation
Choice A:
es and moisture to digest necrotic tissue. While Dakin's solution can support this process by maintaining a moist wound environment, it does not directly cause autolytic debridement.
Choice B:
Sharp debridement involves the use of a scalpel, scissors, or other sharp instrument to remove dead tissue. Dakin's solution does not perform this function.
Choice C:
Enzymatic debridement involves the use of a topical application of enzymes to break down necrotic tissue. Dakin's solution does not contain these enzymes.
Choice D:
This is the correct choice. Dakin's solution, a sodium hypochlorite-based solution, is used for chemical debridement¹. It can be used to irrigate the wound bed or as the solution for wet-to-moist dressing, effectively cleansing away wound debris and helping create the ideal environment for healing.
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