During wound assessment, the nurse sees a moist, yellow, stringy material attached to parts of the wound bed. How should this tissue be documented?
Correct answer: B. Adherent slough
- A. Healthy granulation tissue
- B. Adherent slough
- C. New epithelial tissue
- D. Black eschar tissue
Explanation
Slough is usually yellow, tan, or grey and may appear stringy or loosely attached to the wound bed. Healthy granulation tissue is moist and red or pink, epithelial tissue is pale pink and smooth, and eschar is typically black or brown and leathery.
Report an error
The more specific you are, the faster it gets fixed. A source beats an opinion.
Prefer email? support@testustad.com
About Wound Care and Dressings
Wound care covers wound classification, healing stages, assessment of tissue and drainage, pain, infection signs, dressing selection and clean or sterile dressing technique. It also includes pressure injuries by stage and the factors affecting healing, such as nutrition, circulation, diabetes, infection and prolonged pressure.
Practise Wound Care and Dressings
50 free Wound Care and Dressings MCQs from Fundamentals of Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
Discussion
Stuck on an option, or know a faster way to get there? Ask or explain it here.
No comments yet. Be the first to explain this one.
Exams that ask Fundamentals of Nursing questions like this
Fundamentals of Nursing is on 9 papers prepared for on TestUstad, and all of them draw the same bank, so this question is worth knowing for every one of them.
More Wound Care and Dressings questions
A patient has a deep wound cavity with heavy serous drainage. Which dressing is most appropriate to absorb the exudate while supporting a moist healing environment?
A wound is left open because tissue loss prevents the edges from being brought together. The wound gradually fills with granulation tissue and contracts. Which type of healing is occurring?
Which event is characteristic of the remodelling phase of wound healing?
A patient with a healing abdominal incision coughs repeatedly and reports a pulling sensation at the incision. Which action best protects the wound?
Which intervention best reduces pressure injury risk for a patient who cannot move the heels independently?
A patient with a foot wound has a cool, pale foot, delayed capillary refill, and a weak pedal pulse. Which nursing action has the highest priority?