What is the best intervention for a nurse when a client reacts aggressively during a dressing change?

Providing information about infection prevention is the most appropriate intervention when a client reacts aggressively during a dressing change. In situations of aggression, it’s important to address the client’s concerns while also promoting understanding of the care being provided. By offering information about infection prevention, the nurse helps the client see the rationale behind the dressing change and its significance to their health.

This approach can help to reduce anxiety and defensiveness, as it empowers the client with knowledge and may alleviate fears related to the dressing change process, especially if they feel threatened by the procedure. Informing the client can also facilitate cooperation, creating a collaborative environment that encourages better outcomes.

In contrast, leaving the room without saying a word may further escalate the client’s feelings of abandonment or distress, while allowing the client to change the dressing themselves might not be appropriate due to the infection risk if the client is not trained or able to do so safely. Explaining the healthcare provider's prescription could be helpful, but it may not address the emotional response the client is having in that moment. Providing information about infection prevention directly targets the root of the problem by fostering understanding and cooperation.