The nurse is assessing a client's pressure ulcer.To determine the depth of the ulcer,the nurse should take which action?

Question

Quizplus · Accepted Answer

To determine the depth of a pressure ulcer, the nurse should insert a sterile swab into the deepest part of the wound. This will help the nurse assess the extent of the tissue damage and determine the appropriate treatment plan. Measuring the width or length may help in assessing the size of the ulcer, but it will not provide information about the depth of the wound. Identifying where the ulcer is located on the clock face is a method of documenting the location of the wound, but it does not provide information about the depth of the ulcer.

The Nurse Is Assessing a Client's Pressure Ulcer