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The Patient's Sacrum Has Nonblanching Redness on Monday

Question 17

Multiple Choice

The patient's sacrum has nonblanching redness on Monday.On Wednesday the nurse determines that the pressure ulcer on the patient's sacrum is stage 2 despite skin care, including an air-filled mattress overlay.Which is the best nursing intervention to implement now?


A) Document the extreme progression of the patient's pressure ulcer.
B) Collaborate with the health care provider for physical therapy.
C) Reassess the patient's need for a different support surface or bed.
D) Increase the frequency of bathing and linen changes as needed.

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