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The Nurse Is Caring for a Patient with a Healing

Question 28

Multiple Choice

The nurse is caring for a patient with a healing Stage III pressure ulcer. Upon entering the room, the nurse notices an odor and observes a purulent discharge, along with increased redness at the wound site. What is the next best step for the nurse?


A) Complete the head-to-toe assessment, including current treatment, vital signs, and laboratory results.
B) Notify the health care provider by utilizing Situation, Background, Assessment, and Recommendation (SBAR) .
C) Consult the wound care nurse about the change in status and the potential for infection.
D) Check with the charge nurse about the change in status and the potential for infection.

Correct Answer:

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