When evaluating a client,a nurse observes an unexpected outcome of treatment when the surrounding skin of an ulcer becomes macerated.The nurse should:

Question

Quizplus · Accepted Answer

Select a dressing that has increased moisture-absorbing capacity.Dressings that increase moisture absorption will result in dryer skin that is less macerated.
A wound culture is not indicated for macerated skin unless an increase in drainage or development of necrotic tissue occurs.Pressure-reducing devices are not indicated for macerated skin.Macerated skin is a local reaction; the client would not need systemic monitoring unless the pressure ulcer extended beyond the original margins.

When Evaluating a Client,a Nurse Observes an Unexpected Outcome of Treatment