A clean, well granulating stage II pressure ulcer with minimal serous drainage is most appropriately dressed with which option?

A clean, well granulating stage II pressure ulcer with minimal serous drainage is most appropriately dressed with which option?

• A. A non-adherent dressing
• B. A packed dressing
• C. Topical medication only
• D. Dry-to-dry gauze

Answer: (A)

The key idea is choosing a dressing that protects the healing tissue without sticking to it and that preserves a moist environment while allowing small amounts of drainage to be managed. For a clean, well-granulating stage II pressure ulcer with minimal serous drainage, a non-adherent dressing fits this goal best. It won’t cling to the granulating tissue, so removal is pain-free and nondamaging to the new tissue, while still maintaining moisture at the wound surface to support epithelialization. You can layer an absorbent secondary dressing over it to manage the light drainage as needed. Other options aren’t ideal for this scenario. A packed dressing is meant for wounds with dead space or heavier exudate and can disturb the wound bed and delay healing. Relying on topical medication alone provides no protective barrier or moisture management. Dry-to-dry gauze tends to adhere to the wound bed, can traumatize the granulation tissue on removal, and dries the surface, which hinders healing.

The key idea is choosing a dressing that protects the healing tissue without sticking to it and that preserves a moist environment while allowing small amounts of drainage to be managed. For a clean, well-granulating stage II pressure ulcer with minimal serous drainage, a non-adherent dressing fits this goal best. It won’t cling to the granulating tissue, so removal is pain-free and nondamaging to the new tissue, while still maintaining moisture at the wound surface to support epithelialization. You can layer an absorbent secondary dressing over it to manage the light drainage as needed.

Other options aren’t ideal for this scenario. A packed dressing is meant for wounds with dead space or heavier exudate and can disturb the wound bed and delay healing. Relying on topical medication alone provides no protective barrier or moisture management. Dry-to-dry gauze tends to adhere to the wound bed, can traumatize the granulation tissue on removal, and dries the surface, which hinders healing.