The client diagnosed with chronic venous insufficiency has a venous stasis ulcer that is being treated with autolytic medication for debridement and an occlusive dressing. The nurse notices a...


The client diagnosed with chronic venous insufficiency has a venous stasis ulcer that is being treated with autolytic medication for debridement and an occlusive dressing. The nurse notices a foul-smelling odor. Which intervention should the nurse implement?


1. Assess the client’s vital signs, especially the temperature.


2. Obtain a culture and sensitivity of the venous stasis ulcer.


3. Document the finding and take no further intervention.


4. Ask the health-care provider to discontinue the medication



May 04, 2022
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