The nurse is caring for an older adult client who was admitted to the hospital after having a stroke. The client was in extremely critical condition on admission to the emergency department and a Braden Risk Assessment Scale was not completed. On the client's fifth day of hospitalization, the nurse notes that the client has developed a stage one pressure injury on the elbow of the side affected by the stroke. Which is the implication of this situation in relation to reimbursement for care of the pressure injury?
A. Medicare will pay for the treatment because it was noticed while the client was still hospitalized.
B. Medicare will not pay for treatment because the pressure injury was not properly documented.
C. Medicare will pay for the treatment because pressure injuries are an expected outcome in a client who has had a stroke.
D. Medicare will not pay for treatment because an initial skin assessment was not completed, so it is assumed that the pressure injury was caused by improper care at the hospital.
Answer: D
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