Question

"A nurse is caring for a client who has a pressure injury. What findings should the nurse report to the provider?"

A) Redness and warmth around the pressure injury
B) Presence of granulation tissue
C) Foul odor from the wound
D) Decreased pain reported by the client

Answer 1

The nurse should report redness and warmth, foul odor, and decreased pain to the provider.

Step-by-step explanation:

The nurse should report the following findings to the provider:

1. Redness and warmth around the pressure injury: These signs indicate inflammation, which could be a sign of infection.
2. Foul odor from the wound: This suggests the presence of bacteria or necrotic tissue and requires further assessment.
3. Decreased pain reported by the client: This could indicate worsening tissue damage or nerve injury and should be evaluated by the provider.