A client presents with a pressure ulcer on the ankle.Which is the first intervention that the nurse implements?

Question

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A client with an ulcer on the foot should be assessed for interruption in arterial flow to the area.This begins with assessment of pulses and color and temperature of the skin.The nurse can also assess for pulses noninvasively with a Doppler if unable to palpate with his or her fingers.Elevation of the foot would impair the ability of arterial blood to flow to the area.Wound cultures are done after it has been determined drainage,odor,and other risks for infection are present.Tests to determine nutritional status and risk assessment would be completed after the initial assessment is done.

A Client Presents with a Pressure Ulcer on the Ankle