Question

A client has developed blisters around the tape that secures the dressing. The nurse should:

a. Apply more tape to secure the dressing.
b. Puncture the blisters with a sterile needle.
c. Remove the tape and assess for an allergic reaction.
d. Leave the blisters intact and reinforce the tape.

Answer 1

The nurse should remove the tape and assess for an allergic reaction when a client develops blisters around the tape that secures the dressing.

Step-by-step explanation:

The correct answer is c. Remove the tape and assess for an allergic reaction.

When a client develops blisters around the tape that secures the dressing, it is important for the nurse to remove the tape and assess for an allergic reaction. Blisters can indicate an allergic response to the tape or the dressing material. Leaving the blisters intact and reinforcing the tape can further irritate the skin and worsen the reaction.

By removing the tape, the nurse can evaluate the skin for signs of allergy and determine if an alternative dressing or tape should be used. It is important to address allergies promptly to prevent further discomfort and complications.