The Nurse Is Caring for a Client Who Failed to Meet

Multiple Choice

The nurse is caring for a client who failed to meet the outcome of healing of a stage 2 pressure injury over the coccyx. Which should the nurse identify as a likely contributing factor?

A) The rubber doughnut pressure relief device was not delivered by central supply.
B) The client's serum albumin increased over the last month.
C) A right side-back-left side-back turning schedule was used.
D) Nurses did not document disinfection of the wound with alcohol at each dressing change.