The nurse aide was asked by the licensed nurse to change the non sterile dressing of a client. Which of the following statements is correct pertaining to this situation?
  1. Tactfully refuse the delegated task because you have limited abilities to change dressings on your own.
  2. After the wound has been cleansed, apply clean dressings and tape completely around the edges of the bandage.
  3. When cleansing the wound, start from the surrounding skin and clean towards the wound in longitudinal strokes.
  4. When changing a dressing, always note the color, odor, amount, and consistency of the drainage on the old dressing.
Explanation
Answer: D - When changing a dressing, always note the color, odor, amount, and consistency of the drainage on the old dressing. Dressings that do not require the use of sterile technique or medication will often be assigned to your care. Make sure that you follow the correct steps for would care. Cleanse the wound and the skin using circular motions, starting from the clean areas and moving to the dirty ones. The wound is considered clean and the skin dirty. Apply clean dressings afterwards. Hold all dressings by the corners as you apply them. Do not contaminate the center of the bandages. Tape the dressing in place, leaving the edges free. Do not tape completely around the edges of the bandage.
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