A patient with very thin, fragile skin has just been resuscitated in the emergency department. During the resuscitation efforts, a dressing was taped over an IV site. How should the nurse remove this dressing?
1. Grasp the tape and pull sharply and quickly.
2. Rub the sides of the tape until it loosens.
3. Hold the skin down and gently pull the tape off.
4. Allow the tape to loosen over several days and remove it in sections.
3
Rationale 1: This action in a patient with thin and fragile skin will likely result in a skin tear.
Rationale 2: Rubbing the skin and tape will probably damage the skin.
Rationale 3: The nurse should brace the skin while removing the tape as gently as possible.
Rationale 4: Allowing the dressing to remain in place for several days increases the risk of infection.
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