A client has been admitted to the hospital with a large sacral pressure ulcer. The physician orders the wound care protocol to be performed twice a day
What would be a statement on the plan of care that would address the implementation phase of the nursing process for this patient? A) A 6 cm × 4 cm wound with malodorous, yellow exudate
B) The client's wound will heal by 1 cm by the end of 5 days.
C) The client's wound has healed by 0.5 cm on day 3 of wound care.
D) Turn the client every 2 hours.
D
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Turning the client every 2 hours is implementing care to allow the pressure ulcer to heal and prevent another formation of a wound. Option A is the assessment phase of the nursing process. Option B is the planning phase of the nursing process, and option C is the evaluation phase of the nursing process.
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