If a patient exhibits signs of infection in a wound, what is the appropriate nursing action?

When a patient shows signs of infection in a wound, the most appropriate nursing action is to report the findings and follow protocol. This response is critical for several reasons.

First and foremost, wound infections can lead to serious complications if not addressed promptly and appropriately. By reporting findings, the nurse ensures that the healthcare team is aware of the situation, allowing for timely evaluation and potential intervention by a physician or advanced practice provider. Following established protocols is essential to provide consistent and effective care, as they are designed based on evidence-based practices to manage wound infections.

Timely reporting and following protocol can facilitate necessary interventions such as ordering laboratory tests, starting specific treatments (like antibiotics), and possibly adjusting the care plan based on the severity of the infection. Additionally, protocols often include guidelines for reassessing the wound, which can help prevent the infection from worsening.

While changing the dressing may be necessary in some circumstances, it is not the first action to take without a proper assessment and consultation regarding the state of infection. Ignoring signs of infection or just documenting the findings without action can lead to further complications and delayed recovery for the patient, which is why these options are not recommended.