What is the nurses priority action

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Reference no: EM133781409

Problem

Client admitted from the skilled nursing facility with stage IV pressure injury 6 cm x 4 cm with a depth of 2 cm. Foul smelling purulent drainage and areas of eschar present on the left side of the wound. Temperature 99.6 F, heart rate 88, respiratory rate 22, blood pressure 110/68, O2 saturation 94%. The nurse reviews the nursing note from the previous shift for a 79-year-old client. What is the nurse's priority action?

Reference no: EM133781409

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