When evaluating a patient,the nurse observes an unexpected outcome of treatment when the surrounding skin of an ulcer becomes macerated.The nurse should:
A)obtain a wound culture.
B)apply pressure-reducing devices.
C)use dressings with increased moisture absorption.
D)monitor the patient for systemic signs and symptoms.

Question

Quizplus · Accepted Answer

Select a dressing that has increased moisture-absorbing capacity.Dressings that increase moisture absorption will result in dryer skin that is less macerated.A wound culture is not indicated for macerated skin unless an increase in drainage or development of necrotic tissue occurs.Pressure-reducing devices are not indicated for macerated skin.Macerated skin is a local reaction;the patient would not need systemic monitoring unless the pressure ulcer extended beyond the original margins.

When Evaluating a Patient,the Nurse Observes an Unexpected Outcome of Treatment