The nurse plans care for the patient's wound that requires a moist-to-dry dressing. Which should the nurse use for an expected patient outcome several hours after applying a new dressing?
a. The patient states that the dressing feels cold.
b. The dressing is dry and intact.
c. The dressing has bright red drainage.
d. The patient states that the pain level is 8 on a scale of 1 to 10.
B
The nurse uses a moist-to-dry dressing for wound débridement and exudate collection because cellular debris and exudate in a wound bed delay healing. The nurse expects the dressing to ab-sorb wound drainage and to be dry and intact. The dressing should feel cold as the nurse applies the moist gauze, not later. It should absorb drainage, not cause drainage to increase and penetrate the layers of dressing material. Pain rated as 8 on a scale of 1 to 10 is severe and warrants further investigation by the nurse because a dressing should provide patient comfort.
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