The Nurse Has Established an Expected Outcome That the Client

The nurse has established an expected outcome that the client will demonstrate healing of a stage II pressure ulcer over the coccyx.Which finding,discovered by the nurse during evaluation,might be implicated in the failure to achieve this outcome?

A) The rubber doughnut pressure relief device was not delivered by central supply.
B) The client's serum albumin increased over the last month.
C) Nurses did not document disinfection of the wound with alcohol with each dressing change.
D) Unlicensed assistive personnel (UAP) followed a right side-back-left side-back turning schedule.