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The nurse notes that the wound is round and 0.5 cm in diameter. To assess for the presence of any undermining tracts, what action should the nurse implement? Harding, M.M. (2020) Lewis’s Medical-Surgical Nursing. (11th ed.) St. Louis, Missouri: Elsevier. pp. 164 Figure 11.9. Note the amount and appearance of any drainage to help determine the depth. Gently irrigate the wound with sterile saline to help determine the depth. Insert a sterile, cotton-tipped applicator to measure the depth. Use sterile forceps to apply sterile packing to help determine the depth.
SCIENCE
HEALTH SCIENCE
NURSING

 
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