Difficulty: Medium
Average Score: 65%
Simulated
A nurse is caring for a client who has a stage II pressure ulcer. Which of the following products should the nurse use to treat the ulcer?
Correct answer
B
Rationale
The correct answer is B: Hydrocolloid. In stage II pressure ulcers, the skin is partially lost, and hydrocolloid dressings promote moist wound healing, absorb excess exudate, and protect the wound from further damage. Granulex (A) is used for debridement of necrotic tissue, not suitable for stage II ulcers. Proteolytic enzyme (C) is used for enzymatic debridement of necrotic tissue in deeper wounds. Cortisone cream (D) is not recommended for pressure ulcer treatment as it can impair wound healing and increase risk of infection.