Only a Wound Care RN is

Authotrized to Assign Pressure

Injury Stages!

Check appropriate interventions using the picture on the left

(4 correct answers).

Patient is bed-bound and unable to turn self. Eats a balanced

diet. Left heel is reddened, non-blanchable, warm, and dry to

touch.

AMassage the area vigorously

BElevate the heel

CApply anti-fungal cream to the area

DInitiate turn and reposition schedule every 2 hours

EApply heel protector boots

F) Consult wound care nurse

G) Consult dietitian