The nurse needs to apply a dry sterile dressing. Which should the nurse implement first?
a. Inspect the appearance of the wound.
b. Remove excess moisture from the wound.
c. Cleanse the wound with sterile saline so-lution.
d. Prepare the sterile field for supplies.
A
After removing the old dressing, the nurse assesses the wound for color, size, depth, drainage, and edema and compares the findings with baseline data. The nurse uses the conclusions from the assessment to plan follow-up nursing care. After the assessment the nurse creates the sterile field to maintain the integrity of sterile supplies in preparation for the dressing change. He or she then cleanses the wound using sterile saline or an antiseptic swab and blots the excess moisture to reduce the risk of infection.
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