Asked by Byron Sherwin on May 20, 2024
Verified
The nurse is preparing to change a large wound dressing on the patient's buttock.Which intervention should the nurse address first?
A) Inspect the dressing for drainage.
B) Medicate appropriately before performing the dressing change.
C) Observe wound edges and if staples or sutures are intact.
D) Assess the insertion site of the drain(s) .
Wound Dressing
The application of materials (such as bandages, gauze, or plasters) to a wound to protect it from infection, absorb discharge, and promote healing.
Drainage
The removal of fluids from a body part, typically through natural or artificial means, to prevent or alleviate swelling, infection, or other complications.
Staples
Metal clips used in surgical procedures to close wounds or incisions, as well as in office settings to secure documents together.
- Apply appropriate methods for managing and caring for wounds.
Verified Answer
TC
Tanya chadhaaMay 22, 2024
Final Answer :
B
Explanation :
When you plan a dressing change,consider giving the patient an analgesic at least 30 minutes before exposing a wound.Then assess the appearance of the wound.Next,assess the character of wound drainage by noting the amount,color,odor,and consistency.Then assess the drains.Drains lie within tissue,extend from the skin,and are connected to a drainage bag or suction apparatus or allowed to drain into a dressing.Most drains attach to a collection device.First,observe the security of the drain and its location with respect to the wound.Next,note the character and amount of drainage if there is a collecting device.In the case of a surgical wound,inspect the staples,sutures,or wound closures for irritation,and note whether the wound edges are intact.
Learning Objectives
- Apply appropriate methods for managing and caring for wounds.