The nurse is caring for a patient admitted to the hospital from a nursing home. The patient has a stage 3 pressure ulcer. The nurse is asked to document the wound appearance. What is the best way to initially document the appearance of the wound?
A) Use a ruler to accurately measure wound size.
B) Use a clock analogy to describe wound location.
C) Use objective terminology.
D) Take a photograph of the wound.
Correct Answer:
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