For which of the following clients should the nurse question the use of heat therapy?
a. A client with edema around the wound
b. A client with impaired mobility
c. A client whose injury is more than 24 hours old
d. A client whose wound is still bleeding
Question 2
A client has a red spot over the sacrum that does not blanch when the nurse applies pressure. The nurse would document this stage of pressure ulcer formation as being:
a. Stage II. c. Stage IV.
b. Stage I. d. Stage III.