Unit 5 PrepU

The healthcare provider prescribes negative-pressure wound therapy for a client with a pressure ulcer. Before initiating the treatment, it is important for the nurse to implement which nursing assessment?

Assess the wound for active bleeding

The nurse is changing the dressing of a client with a gunshot wound. What nursing action should the nurse provide?

The nurse selects a dressing that absorbs exudate, if it is present, but still maintains a moist environment

A client's pressure ulcer is superficial and presents clinically as an abrasion, blister, or shallow crater. how would the nurse document this pressure ulcer?

Stage II

A nurse is assessing a pressure ulcer on a client's coccyx area. The wound size is 2 cm x 5 cm. Approx. 30% of the wound bed is covered in yellow slough. There is an area of undermining to the right side of the wound 2 cm deep. Subcutaneous fat is visible. Which stage should the nurse assign to this client's wound?

Stage III