Difficulty: Medium
Average Score: 85%
Simulated
On admission to the hospital, the nurse notes that the client has a sacral wound that is 'yellow' in color. What wound treatment would the nurse expect the health care provider to order?
Correct answer
A
Rationale
The correct answer is A: Removal of nonviable tissue followed by a moist wound dressing. A yellow wound indicates the presence of slough, which is nonviable tissue that needs to be removed to promote healing. Moist wound dressings create a moist environment that supports wound healing. Choice B is incorrect as no treatment would lead to further complications. Choice C is incorrect as barrier cream and foam dressing are not suitable for treating slough. Choice D is incorrect as promoting oxygenation does not address the primary issue of nonviable tissue present in the wound.