The nurse caring for an immobile client with a pressure ulcer implemen

The nurse caring for an immobile client with a pressure ulcer implements an intervention that re-quires repositioning the client every 2 hours. Which of the following represents the best evalua-tion method for this intervention?

1. No additional pressure ulcers are noted over a 1-week period.
2. Client expresses a decrease in pressure ulcer related pain within 1 week.
3. The client’s pressure ulcer shows a decrease in size over a 1-week period.
4. The turning schedule is initiated to reflect appropriate positioning for a 1-week period.

ANSWER

ANS: 3
You conduct evaluation measures to determine if you met expected outcomes, not if nursing in-terventions were completed. The decrease in size of the pressure ulcer best evaluates the effec-tiveness of this intervention while the remaining options reflect client opinion, further skin breakdown, or implementation of the intervention.