A nursing home resident with a Stage 4 pressure ulcer that extends to the muscle layer and has significant undermining with heavy exudate should be treated with:

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Quizplus · Accepted Answer

Calcium alginate dressings are a good choice for a stage 4 pressure ulcer with significant undermining and heavy exudate. These dressings are highly absorbent, and can be easily packed into the wound bed to promote healing. They also help to prevent infection and maintain a moist healing environment. Dry gauze dressings would not be appropriate as they could exacerbate the wound by sticking to the wound bed and causing trauma upon removal. Duoderm is not recommended for advanced wounds with heavy exudates as it does not absorb a lot of fluid. Chemical debridement may be necessary in some cases, but would need to be determined by a healthcare provider.

A Nursing Home Resident with a Stage 4 Pressure Ulcer