A Nurse Is Caring for a Client with a Stage

question 11

Multiple Choice

A nurse is caring for a client with a stage 2 pressure injury on the coccyx who is at risk for additional pressure injuries. Which nursing intervention is appropriate when caring for this client?

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

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Definitions:

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