For a client with a Stage IV pressure injury, what is the nurse's priority action after assessing foul-smelling purulent drainage?

• A. Start IV fluids and obtain blood samples for culture
• B. Reassess the wound dressing
• C. Administer pain medication
• D. Document findings in the chart

Answer: (A)

In the situation of a client with a Stage IV pressure injury presenting with foul-smelling purulent drainage, the priority action involves starting IV fluids and obtaining blood samples for culture. This is crucial because the presence of foul-smelling, purulent drainage suggests a possible infection that could lead to systemic issues such as sepsis, especially in the context of a Stage IV pressure injury.

By initiating IV fluids, the nurse can help maintain hydration and circulate medications that may be necessary to treat the infection effectively. Additionally, obtaining blood cultures is essential to identify the specific pathogens involved, allowing for targeted treatment with the appropriate antibiotics.

This proactive approach ensures that any potential infection is addressed promptly to prevent further complications, particularly in a vulnerable patient with a serious pressure injury. The appropriate management of infection is vital, as it can significantly impact the patient's recovery and overall health.

Other responses, while important, do not directly address the immediate concern of potential systemic infection. Reassessing the wound dressing or documenting findings is necessary but should come after ensuring the patient’s safety and addressing the risk of sepsis. Administering pain medication is important for comfort but does not take precedence over managing a potentially life-threatening infection.