Question

The nurse assesses a deep wound. The area is covered by black and necrotic tissue. What term would the nurse use when documenting this wound?

a) Slough
b) Granulation tissue
c) Eschar
d) Exudate

Answer 1

The term a nurse would use when documenting a wound covered by black and necrotic tissue is 'eschar.' This type of dead tissue can hinder wound healing and may need to be removed for the healing process to progress effectively. So, the correct answer is option c) Eschar.

Step-by-step explanation:

If a nurse assesses a deep wound and finds the area is covered by black and necrotic tissue, the term used when documenting this would be eschar. Eschar is dead tissue that is often black, brown, or tan, and is frequently seen in a full-thickness wound.

It can impede healing and therefore often needs to be removed for proper wound healing. In contrast, slough refers to a softer yellow or white tissue consisting of dead cells, fibrin, and inflammatory cells, granulation tissue is new, reddish connective tissue that forms on the wound surface during healing, and exudate is the fluid, cells, or other substances that have slowly exuded or been discharged from cells or blood vessels, usually due to inflammation.

So, the correct answer is option c) Eschar.

Answer 2

Eschar is the appropriate term for documenting a wound covered by black and necrotic tissue, representing a dry scab or slough that requires specific wound care interventions.Thus,the correct option is c) Eschar

Step-by-step explanation:

The nurse would use the term "eschar" when documenting a wound covered by black and necrotic tissue. An eschar is a dry, thick scab or slough that forms over a wound, often caused by burns or other injuries. In wound assessment, the presence of eschar indicates a level of tissue necrosis and may require specific interventions for proper wound care.

Eschar is different from slough, which is a term used to describe loose, stringy, or devitalized tissue that may be yellow, tan, green, or brown in color. Slough needs to be removed to promote wound healing, while eschar is a protective layer that may need debridement in certain cases. Granulation tissue, on the other hand, refers to the pinkish, fleshy tissue that forms during the healing process, indicating a positive sign of wound repair. Exudate is the fluid that oozes out of a wound and can be part of the normal healing process, but excessive or abnormal exudate may indicate infection or other complications.

In summary, the term "eschar" accurately describes the characteristic appearance of a wound covered by black and necrotic tissue, guiding the healthcare team in appropriate wound management strategies to facilitate healing.

Therefore,the correct option is c) Eschar