The client is scheduled for a dressing change. When removing the adhes

The client is scheduled for a dressing change. When removing the adhesive tape used to secure the dressing, the nurse should lift the edge and hold the tape:

1. At a 45-degree angle to the skin surface while pulling away from the wound
2. At a right angle to the skin surface while pulling toward the wound
3. At a right angle to the skin surface while pulling away from the wound
4. Parallel to the skin surface while pulling toward the wound

ANSWER

ANS: 4
To remove tape safely, the nurse loosens the tape ends and gently pulls the outer end parallel with the skin surface toward the wound. Tape should not be pulled in a direction away from the wound because this may cause the wound edges to separate. Holding the tape at a right angle to the skin surface may pull on the wound bed, causing separation of wound layers, or may damage the underlying skin.