A Nurse Is Caring for a Client with a Stage

Multiple Choice

A nurse is caring for a client with a stage 2 pressure injury on the coccyx who is at risk for additional pressure injuries. Which nursing intervention is appropriate when caring for this client?

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