The Nurse Is Preparing to Change the Dressing of a Client

question 14

Multiple Choice

The nurse is preparing to change the dressing of a client who had abdominal surgery 3 days ago.The nurse notes that the incision has purulent drainage and appears very puffy.The client states that the pain level has increased from a 3 to a 7 in the last 24 hours.Which is the nurse's next action in regard to this client's wound?

• A)Clean the wound,place a new dressing,and plan to recheck the incision in 4 hours.
• B)Contact the client's surgeon after obtaining the client's vital signs.
• C)Recognize that this is an expected outcome for a client on the third day after surgery.
• D)Culture the wound drainage and redress the wound.

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Definitions:

Breaks In Between

Short periods of rest or interruption in activities to improve focus and productivity.

Routine Expertise

The proficiency gained in performing tasks or activities that are regular and repetitive, leading to efficiency and consistency.

Specific Behaviours

Observable actions or reactions of an individual in particular situations, distinguished by their precision and context.

Similar Settings

Environments or circumstances that share common characteristics or conditions, potentially allowing for comparable observations or experiments.