The practical nurse (PN) observes a client's initial postoperative dressing and drain as seen in the picture. Which follow-up actions should the PN implement? (Select all that apply.)

Document the appearance of the wound as inflamed.

Report the appearance of the dressing to the charge nurse.

Compress the drainage device before closing the tab.

Clamp the drainage tubing for the next four hours.

Remove the drainage device and apply a pressure dressing