The practical nurse (PN) is changing the abdominal dressing of a male client who was discharged home following a colon resection. Which information should the PN report to the healthcare provider?

A. The client's spouse is interested in learning about foods that will promote wound healing: This is a positive sign of family involvement and interest in recovery which should be supported with education about protein-rich foods, vitamins, and hydration. B. After the dressing change, the client insists on changing his shirt and washing his hands: This behavior demonstrates good hygiene and self-care awareness, which are encouraged for wound healing. It does not indicate a complication or reason for provider notification. C. The wound edges are approximated and the skin edges are dry and without inflammation: These findings reflect normal healing, indicating no infection or wound dehiscence. Reporting such normal observations is unnecessary unless the condition changes. D. The client reports the wound care is painful and would like a prescription for an analgesic: Pain during dressing changes may indicate inadequate pain control or emerging inflammation. The PN should report this to the healthcare provider so that an appropriate analgesic can be prescribed and the client’s comfort can be improved during wound care.