If there is increased wound drainage with a moist-to-dry dressing, what is the immediate nursing action?

• A. Obtain wound culture
• B. Change the dressing
• C. Apply pressure on the wound
• D. Monitor the patient's white blood cell count

Answer: (B)

When wound drainage increases under a moist-to-dry dressing, the priority is to refresh the wound environment by changing the dressing. Replacing the soiled dressing removes accumulated exudate, helps prevent skin maceration around the wound, and allows you to inspect the wound for color, size, and signs of infection. This action also reestablishes a suitable interface for healing. Obtaining a wound culture isn’t the immediate step unless infection is suspected after rechecking the wound, applying pressure isn’t appropriate here, and monitoring white blood cell count doesn’t address the local drainage issue at the bedside.