Skills Module 3.0 Wound Care Posttest Question: 1 of 9 CORRECT Time Remaining:08:19:05 Pause Remaining:08:20:00 PAUSE FLAG A nurse is documenting data about a deep necrotic wound on a client's left buttock. The nurse observes a yellowish-tan, soft, stringy area of necrotic tissue formed in clumps and adhering firmly to the wound bed. Which of the following assessment findings should the nurse document? Keloid Keloids are hypertrophic scar tissue resulting from excessive collagen formation following a wound injury. Slough MY ANSWER Slough is stringy necrotic tissue that appears whitish, yellowish, or tan in color and is firmly attached to the wound bed. The nurse should document this finding for the client. Granulation Granulation has a granular, moist, shiny, beefy, red appearance within the wound bed. This does not correlate with the nurse's assessment findings. Eschar Eschar is hard or soft necrotic tissue that is tan, black, or brown in color and is firmly attached to the wound bed. This does not correlate with the nurse's assessment findings.
