The nurse will perform which action when doing a wet-to-dry dressing change on a patient's stage III sacral pressure ulcer?
a. Soak the old dressings with sterile saline 30 minutes before removing them.
b. Pour sterile saline onto the new dry dressings after the wound has been packed.
c. Apply antimicrobial ointment before repacking the wound with moist dressings.
d. Administer the ordered PRN hydrocodone (Lortab) 30 minutes before the dressing change.
ANS: D
Mechanical debridement with wet-to-dry dressings is painful, and patients should receive pain medications before the dressing change begins. The new dressings are moistened with saline before being applied to the wound. Soaking the old dressings before removing them will eliminate the wound debridement that is the purpose of this type of dressing. Application of antimicrobial ointments is not indicated for a wet-to-dry dressing.
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