A Nurse Is Caring for a Client with a Stage

question 37

Multiple Choice

A nurse is caring for a client with a Stage II pressure ulcer on the coccyx who is at risk for additional pressure ulcers.Which nursing intervention is appropriate while caring for this client?

• A) Clean the pressure ulcer as needed.
• B) Use hydrogen peroxide as chemical debridement of wound bed as needed.
• C) Maintain the head of the client's bed at 30°.
• D) Avoid placing the client in the side-lying position.

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