Client with an open abdominal incision is discharged from the hospital with negative pressure wound therapy (NPWT) with vacuum assisted closure. The home care nurse visits the client every 3 days to change the wound dressing. Which action by the nurse ensures the client receives the full benefit of this therapy?
1. The nurse ensures that skin around the wound is dry before placing the adhesive transparent dressing.
2. The nurse instructs the client to remove the suction pump when showering.
3. The nurse cuts the foam for the wound to extend 1-2 inches beyond the wound bed.
4. The nurse ensures the client is receiving an anticoagulant during therapy.



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