Which of the following nursing notes demonstrates the best evaluation of nursing interventions regarding the care provided?
1. "Pressure ulcer located on left heel has shown improvement."
2. "Pressure ulcer located on left heel has responded to treatment."
3. "Pressure ulcer on left heel is no longer producing purulent drainage."
4. "Pressure ulcer on left heel has not enlarged in size within the last 24 hours."
ANS: 3
In many clinical situations it is important to collect evaluative measures over a period of time to determine if a pattern of improvement or change exists. The absence of purulent drainage indi-cates successful nursing interventions while the other options either fail to provide measurable data regarding the wound or indicate no improvement.
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