Final answer:
To soothe an inflamed and pruritic ankle area, the nurse should use a cool solution to wet the dressing and apply it directly over the affected area, using clean techniques. Sterility is not required unless the wound is deep or the patient is immunocompromised.
Step-by-step explanation:
When applying a wet dressing to an inflamed and pruritic area of a patient's skin, a nurse should consider the purpose and the desired outcome of the dressing. The goal is often to soothe inflammation, reduce itching, and prevent infection.
For an inflamed and pruritic area, the most appropriate action would be to use a cool solution to wet the dressing. Cool temperatures can help reduce inflammation and soothe itching. Sterility is typically not required for a non-sterile wound such as an inflamed skin area unless otherwise indicated for immunocompromised patients or very deep wounds. Therefore, it may not be necessary to soak the dressing in sterile normal saline or to use sterile gloves unless the protocol for a specific healthcare setting dictates this. Instead, clean gloves and clean techniques are usually sufficient.
Applying the dressing from the knee to the foot is not necessary and can restrict movement. The dressing should be only as large as necessary to cover the affected area.