Principles of Basic Wound Care
- Principles of basic wound care include cleaning, debriding, dressing, and protecting the wound
- Cleaning the wound involves removing debris, bacteria, and dead tissue from the wound bed using sterile saline or water, antiseptic solutions, or wound cleansers
- Debriding the wound involves removing necrotic tissue that may impair healing or increase infection risk using mechanical, enzymatic, autolytic, or surgical methods
- Dressing the wound involves applying an appropriate dressing that maintains a moist wound environment, absorbs excess exudate, prevents infection, protects the wound from trauma, and facilitates healing
- Protecting the wound involves covering the dressing with a secondary dressing or bandage that secures the dressing in place, prevents contamination or leakage, and provides comfort and insulation
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Questions on Principles of Basic Wound Care
Correct Answer is C
Explanation
<p>This is a positive finding, as granulation tissue is new connective tissue that fills the wound and supports epithelialization.</p>
Correct Answer is D
Explanation
<p>Rationale: Hydrocolloid dressings are occlusive or semi-occlusive dressings that adhere to the skin and form a gel-like substance over the wound. This creates a moist environment that stimulates autolytic debridement, which is the natural breakdown of necrotic tissue by enzymes in the wound fluid.</p>
<p><img alt="" src="https://naxlex.com/nursing/assets/images/study_guides/skin-intergrity002.jpg" /></p>
<p>This is not recommended for skin grafts, as it can interfere with graft adherence and increase the risk of infection. The nurse should follow the provider's orders for dressing changes and use sterile technique.</p>
<p>Rationale: Hydrogel dressings are water-based or glycerin-based gels that hydrate the wound and provide a moist environment for healing. They are suitable for dry wounds, such as arterial ulcers, as they help to rehydrate the wound bed and facilitate autolytic debridement.</p>
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