During a dressing change, the nurse observes increasing redness, warmth, swelling, purulent drainage, and worsening pain around the wound. Which finding should the nurse report first?
Correct answer: C. The wound has increasing purulent drainage
- A. The wound edges are slightly pink
- B. The patient reports mild discomfort
- C. The wound has increasing purulent drainage
- D. The surrounding skin is mildly dry
Explanation
Increasing purulent drainage with worsening pain and local inflammation suggests wound infection and requires prompt reporting. Mild pinkness, discomfort, or dryness can occur during healing and is less urgent without other concerning changes.
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About Wound Care and Dressings
Wound care covers wound classification, healing stages, assessment of tissue and drainage, pain, infection signs, dressing selection and clean or sterile dressing technique. It also includes pressure injuries by stage and the factors affecting healing, such as nutrition, circulation, diabetes, infection and prolonged pressure.
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50 free Wound Care and Dressings MCQs from Fundamentals of Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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