The physician has not ordered a dressing change for a draining wound on a patient in an acute care setting. How should the nurse assess the amount of drainage?
a. Weigh the patient to estimate the weight of the saturated dressing
b. Reinforce the dressing
c. Circle and date the outline of the exudate on the dressing
d. Count each dressing as 1 mL of drainage
ANS: C
Without an order to change the dressing, the drainage should be circled and dated. Should the dressing become saturated, the dressing can be reinforced but the exudate should still be circled.
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