The Nurse Is Providing Care for a Patient with an Open

The nurse is providing care for a patient with an open pressure injury on the right hip. The bed of the wound is covered with thick, black eschar and the tissue around the wound is red and warm to the touch. Which action does the nurse take in anticipation of the type of debridement used for this pressure injury?

A) Obtain sterile forceps and scissors for the health care provider (HCP) to use for mechanical debridement.
B) Read the instructions about how to apply and manage the use of a proteolytic enzyme.
C) Expect that the patient will be taken to surgery to remove any nonviable tissues.
D) Bring gauze and normal saline to the bedside for application of wet-to-dry dressings.