Guidelines from the Agency for Health Care Policy and Research (AHCPR) for pressure ulcer care recommend:
A. Dressing that maintains a moist environment for the wound while keeping surrounding skin dry
B. Weekly wound culture to monitor the client for presence of pathogenicbacteria growth
C. The use of sterile technique for all ulcer care
D. The delegation of care to assistive personnel
A
A. A moist environment facilitates healing of the wound, but the surrounding skin must be kept dry to prevent further breakdown.
B. Weekly cultures are not recommended for pressure ulcers.
C. Clean technique is used for pressure ulcer care.
D. The nurse is responsible for pressure ulcer care; assistive personnel should be instructed to report changes in wound condition or amount of drainage.
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