A client had surgery this morning and the incision is covered with a sterile occlusive dressing. When the client rolls over in bed, the dressing peels off. What action by the nurse is best?

Question

Quizplus · Accepted Answer

The occlusive dressing on this client serves to keep microorganisms away from the incision. If the dressing comes off before re-epithelialization occurs, it should be replaced using sterile technique. Large surgical wounds are at the highest risk of dehiscence. The surgeon should be informed, but this does not need to occur immediately. A replacement sterile occlusive dressing, not a gauze pad, is used.

A Client Had Surgery This Morning and the Incision Is