NCLEX-PN Quiz
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PHYSIOLOGICAL ADAPTATION
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PASSAGE
Client: 82-year-old female, history of a recent stroke with residual left-sided paralysis. Admission Status: Admitted from home with a stage 3 pressure injury on the sacrum. 0800 Assessment: Wound measures 4 cm x 3 cm x 1 cm deep. The wound bed is 70% red (granulation tissue) and 30% yellow (slough). There is a moderate amount of foul-smelling, yellowish-green drainage. History: Urinary incontinence, poor nutritional intake, and limited mobility.
Which intervention should the nurse include in the client's plan of care to promote wound healing?
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