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The Nurse Is Caring for a Patient with a Healing

Question 32

Multiple Choice

The nurse is caring for a patient with a healing stage 3 pressure injury.Upon entering the room,the nurse notices an odour 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,and include current treatment,vital signs,and laboratory results.
B) Notify the charge nurse about the change in status and the potential for infection.
C) Notify the physician by utilizing Situation,Background,Assessment,and Recommendation (SBAR) .
D) Notify the wound care nurse about the change in status and the potential for infection.

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