When Measuring the Size, Depth, and Wound Tunneling of a Client's

question 6

Multiple Choice

When measuring the size, depth, and wound tunneling of a client's stage IV pressure ulcer, what action should the nurse perform first?

• A) Perform hand hygiene.
• B) Insert a swab into the wound at 90 degrees.
• C) Measure the width of the wound with a disposable ruler.
• D) Assess the condition of the visible wound bed.

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Definitions:

Control

The process by which an organization ensures that activities are being executed according to plan and adjusts as necessary to achieve objectives.

Authorize

To officially empower someone or grant permission for something to happen.

Appreciate

To recognize the full worth of something or to be grateful for something or someone.

Subsystem Controls

Mechanisms put in place to monitor and regulate the operations of individual components of a larger system to ensure efficiency and effectiveness.