A nurse is changing a wet-to-dry dressing in a diabetic client with an infected leg wound. What is a specific precaution for a wet-to-dry dressing?
A) Do not pat dry the surrounding skin.
B) Do not loosen the dressing with normal saline.
C) Keep a 1-inch margin of dressing on all sides of wound.
D) Use a new gauze pad for each cleansing motion.
B
Feedback:
The nurse should not loosen the dressing with normal saline, because this will defeat the intended purpose of debridement. Do not pat dry the edges of the wound with a wet-to-dry dressing, but dry the surrounding skin. A 1-inch margin of dressing on all sides of the wound should be maintained for all special dressings. A new gauze pad is used for each cleansing motion for any dressing and is not specific to only wet-to-dry dressings.
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