The nurse determines that wound care therapy with a proteolytic enzyme should be discontinued after noting which of the following characteristics of the wound bed?

Question

Quizplus · Accepted Answer

Granulation tissue formation indicates that the wound is in the proliferation phase of healing and that the use of proteolytic enzymes is no longer necessary. These enzymes are used during the inflammatory phase to help break down necrotic tissue, but their use should be discontinued once the wound has progressed to the proliferative phase. White or yellow drainage and the presence of small amounts of necrotic tissue do not necessarily indicate that the use of proteolytic enzymes is no longer necessary. A spongy and yellow wound bed may indicate the presence of excessive exudate and necrotic tissue, but it is not a definitive indication that therapy should be discontinued.

The Nurse Determines That Wound Care Therapy with a Proteolytic