The nurse is caring for a patient in a wound clinic who is treated with plastic wrap dressings. Which of the following findings indicate complications related to prolonged application of the dressings? (Select all that apply.)
a. Cyanosis
b. Maceration
c. Skin atrophy
d. Folliculitis
e. Lichenification
f. Hyperpigmentation
ANS: B, C, D
Continued use of occlusive dressings can cause skin atrophy, folliculitis, maceration, erythema, and systemic absorption of the medication. To prevent some of these complications, the dressing is removed for 12 out of every 24 hours. Properly applied occlusive dressings do not cause cyanosis, lichenification, or hyperpigmentation.
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