Management of a client with a stage III ulceration would include which of the following? (Select all that apply. )
A)frequently assessing lung sounds
B)frequently changing position
C)air-filled mattress
D)debridement of the wound bed
E)encouraging intake of foods high in vitamin C and protein

Question

Quizplus · Accepted Answer

Medical management of clients who have pressure ulcers depends on the stage of the ulcer(s).Commercial products may be prescribed to prevent further ulcer development,and wound cleansing may be prescribed,including normal saline or medicated solutions;specific wound dressings are also prescribed.Special support surfaces (e.g. ,egg-crate mattresses or air-filled mattresses)or special beds (e.g. ,Clinitron,Kin Air)can be used to reduce skin pressure and shear and friction forces.Surgical debridement may be indicated for some pressure ulcers.Nursing care of clients who are at risk for pressure ulcers focuses on prevention: frequently assessing skin condition,frequently changing position,using pressure-reducing surfaces,encouraging intake of foods high in vitamin C and protein,and encouraging activity or passive range-of-motion exercise if active exercise is not possible.

Management of a Client with a Stage III Ulceration Would