A client reports to the mental health clinic on the

A wound, ostomy, and continence nurse (WOCN) is providing an in-service to a group of nurses about documentation of pressure injuries. Which of the following statements by one of the group members indicates an understanding of the teaching? “Pressure injury documentation includes the location, stage, measurements, and condition of the wound bed and any drainage present.” “Drainage from a pressure injury only needs to be documented if a foul odor is present.” “If the pressure injury is healing as expected, documentation can be completed with every other dressing change.” “Pressure injuries found on the mucous membranes should be documented as stage 1 pressure injuries.”

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