Question

The nurse assess a wound with exudate. What should be included when documenting the exudate? (Select all that apply)

A) Color
B) Odor
C) Consistency
D) Temperature

Answer 1

When documenting wound exudate, include the color, odor, and consistency of the exudate.

Step-by-step explanation:

When documenting exudate from a wound, several factors should be included:

• Color: The color of the exudate can indicate the stage of healing or presence of infection. For example, clear or pale yellow exudate may indicate normal healing, while green or yellowish-green exudate may indicate infection.
• Odor: The smell of exudate can also provide information about infection. Foul or putrid odor suggests the presence of bacteria.
• Consistency: The consistency of the exudate can vary, such as being watery, thick, or gel-like. This information helps assess wound healing.