The practical nurse (PN) observes a client’s initial postoperative dressing, which is saturated with serosanguinous fluid, and a drainage device that appears partially compressed. 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.

Remove the drainage device and apply a pressure dressing.

Compress the drainage device before closing the tab.

Clamp the drainage tubing for the next four hours.