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While Cleaning a Wound,the Nurse Determines That Undermining Is at the Top

Question 25

Multiple Choice

While cleaning a wound,the nurse determines that undermining is at the top of the wound.Which documentation of the wound by the nurse is best?


A) Dark pink wound with undermining at 2 o'clock
B) Wound clean and without odor with slight undermining toward patient's head
C) See photograph of wound taken today
D) Pale pink wound 2 cm × 3 cm × 2 cm deep with undermining at 12 o'clock

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