The Home Health Nurse,while in the Home to Change a Decubitus

The home health nurse,while in the home to change a decubitus dressing,notices that the wound has a musky odor and is weepier than the last visit,2 days earlier.Prioritize these nursing interventions for this situation:
A) Contact the case manager.
B) Assess the patient's entire skin, vital signs, and be prepared to describe the wound findings.
C) Cleanse the decubitus area well, and redress the wound.
D) Chart the appearance of the decubitus completely.
E) Assess the patient's mobility.