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A Nurse Is Caring for a Client with a Stage

Question 37

Multiple Choice

A nurse is caring for a client with a Stage II pressure ulcer on the coccyx who is at risk for additional pressure ulcers.Which nursing intervention is appropriate while caring for this client?


A) Clean the pressure ulcer as needed.
B) Use hydrogen peroxide as chemical debridement of wound bed as needed.
C) Maintain the head of the client's bed at 30°.
D) Avoid placing the client in the side-lying position.

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