A nurse is developing a plan of care for a client who has type 1 diabetes mellitus. Which of the following interventions should the nurse include in the plan?

Choice A reason: Hydrogen peroxide can damage healthy tissue and delay healing in stage 3 pressure ulcers. Normal saline or prescribed solutions are preferred, making this an incorrect intervention for wound care.

Choice B reason: Massaging reddened areas risks further tissue damage, as pressure exacerbates ischemia in stage 3 ulcers. Avoiding pressure is critical, making this an incorrect and harmful intervention for care.

Choice C reason: Applying a heat lamp can dry the wound and cause burns, delaying healing. Moist wound environments promote recovery, making heat application inappropriate for stage 3 pressure ulcer management.

Choice D reason: Repositioning every 2 hours relieves pressure on stage 3 ulcers, promoting blood flow and preventing further tissue damage. This is a key intervention for healing, making it the correct choice.

Choice A reason: Black, tarry stool while taking ferrous sulfate may indicate gastrointestinal bleeding, a serious condition, rather than a normal side effect (greenish-black stool). This requires further questioning to rule out hemorrhage, making it the priority.

Choice B reason: Dizziness upon standing suggests orthostatic hypotension, a common issue that warrants monitoring but is less urgent than potential bleeding. It requires clarification but is not as critical as black stool.

Choice C reason: Taking medication with orange juice is generally safe, though it may affect absorption of some drugs. This is less concerning than black stool, which could indicate bleeding, making it a lower priority.

Choice D reason: Skipping a dose due to feeling fine indicates non-compliance, which needs education but is not immediately life-threatening. Black stool suggesting bleeding is more urgent, making this less critical for questioning.