A nurse is providing education to a group of caregivers about preventing pressure ulcers in bedridden patients.

Which interventions should the caregivers implement? (Select three).

Choice A rationale:

Informing the client that surgery will not be needed for their severe pressure ulcer is not accurate and does not provide the necessary information for the client.

Surgical intervention may be required for severe pressure ulcers, especially when conservative treatments have been unsuccessful.

Choice B rationale:

Educating the client that surgery may involve removing damaged tissue is an important aspect of preparing them for potential surgical intervention.

Surgical debridement may be necessary to remove necrotic or infected tissue and promote wound healing.

Choice C rationale:

Informing the client that they'll need antibiotics after surgery is not universally applicable to all cases of pressure ulcer surgery.

Antibiotics may be prescribed if there is an infection, but this depends on the individual case and should be determined by the healthcare provider.

Choice D rationale:

Stating that surgery will only address surface issues is not accurate.

Surgical interventions for severe pressure ulcers can involve debridement of necrotic tissue, closure of the wound, and sometimes reconstructive procedures.

The extent of surgery depends on the depth and severity of the ulcer.

Choice A rationale:

Measuring the wound size and depth is an essential action during the assessment of a pressure ulcer.

It helps in determining the severity of the ulcer, tracking its progress, and planning appropriate wound care interventions.

Choice B rationale:

Administering pain management as needed is not specifically related to the assessment phase but is an important aspect of pressure ulcer management overall.

Pain management is crucial to ensure the patient's comfort and adherence to the treatment plan, but it is not a direct assessment action.

Choice C rationale:

Checking vital signs for signs of infection is an appropriate action during the assessment of a patient with a pressure ulcer.

Fever and other vital sign abnormalities may indicate the presence of an infection in the wound, which requires immediate attention.

Choice D rationale:

Assessing the patient's nutritional status is a critical part of the assessment process for a patient with a pressure ulcer.

Malnutrition can delay wound healing, so assessing nutritional needs and addressing deficiencies is essential.

Choice E rationale:

Ensuring proper mobility to prevent pressure on vulnerable areas is an appropriate action during the assessment.

Assessing the patient's mobility status helps in identifying areas at risk for pressure ulcers and developing preventive strategies.

However, this action may also extend beyond the assessment phase and involve ongoing care.