Question

A nurse is providing wound care for a client who has a pressure ulcer on the right buttock. Which of the following is the correct order of nursing interventions the nurse should perform during this dressing change?

a. Cleanse the wound with saline.
b. Apply an antimicrobial ointment.
c. Remove the old dressing.
d. Assess the wound for signs of infection.
e. Apply a sterile dressing.

Answer 1

The correct order of nursing interventions for dressing change in a pressure ulcer on the right buttock is to assess the wound, remove the old dressing, cleanse the wound, apply an antimicrobial ointment, and apply a sterile dressing.

Step-by-step explanation:

The correct order of nursing interventions for dressing change in a pressure ulcer on the right buttock is as follows:

1. Assess the wound for signs of infection: Before beginning the dressing change, the nurse should assess the wound for any signs of infection such as redness, swelling, or foul odor.
2. Remove the old dressing: Carefully remove the old dressing to expose the wound.
3. Cleanse the wound with saline: Use saline solution to clean the wound and remove any debris or bacteria.
4. Apply an antimicrobial ointment: Apply a thin layer of antimicrobial ointment to help prevent infection and promote healing.
5. Apply a sterile dressing: Finally, apply a sterile dressing to protect the wound and maintain a clean environment.