When changing the client's dressing for a vacuum-assisted closure (VAC) wound therapy system, the nurse observes foul, purulent drainage. Which intervention(s) should the nurse implement? Select all that apply.

A. Increase the wound VAC suction to eliminate the drainage: Increasing suction does not treat the underlying cause of foul, purulent drainage, which may indicate infection; this could worsen tissue damage or mask signs of worsening infection. B. Document the wound measurements with tunneling: Accurate documentation of wound size, depth, and tunneling is essential for monitoring progression or deterioration and is a standard part of wound assessment. C. Consult the wound care specialist to evaluate the wound: A wound care specialist can assess for infection, necrosis, or complications and recommend appropriate changes to the wound care plan, including discontinuing or modifying VAC therapy. D. Reapply the VAC system after irrigating away drainage: Reapplying the VAC without further assessment may trap infection within the wound, delaying healing and potentially worsening the condition. E. Cleanse the wound and discontinue the VAC system: Cleansing helps reduce bacterial load, and discontinuing the VAC allows the wound to be reassessed and treated appropriately if infection is present.