A nurse will be getting an admit of a client with a stage II pressure ulcer, what should the nurse ensure is in the clients room to help reduce any furthering of the ulcer?

 

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Correct

- An air mattress

- Wound cleansing materials

- A foley to negate urine from getting into the wound.

- Baby powder

Rationale

Beds that have pressure relieving materials such as foam, silicon gel, or air pads are necessary for a client with a pressure ulcer. Foley catheters should not be used unless clinically required, and never put baby powder on a client with a pressure ulcer.

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