The UAP reports a small skin tear on the client’s forearm that occurre

The UAP reports a small skin tear on the client’s forearm that occurred during a routine turn. After assessing the wound the nurse should take which action?

1. Obtain a transparent dressing for the UAP to place on the wound.
2. Request a consult with the wound care nurse.
3. Cleanse the wound and apply a dressing.
4. Tell the UAP to reevaluate the wound in 20 minutes.

ANSWER

Correct Answer: 3
Rationale 1: The UAP is not educationally prepared to dress the wound.
Rationale 2: At this point a consult with the wound care nurse is not required.
Rationale 3: The nurse should go to the room, assess the wound, cleanse the wound, and apply a dressing.
Rationale 4: The UAP is not educationally prepared to evaluate the wound.