[Verified Answer]: A 72-year-old female client is admitted…

A 72-year-old female client is admitted from a long-term care facility with a pressure injury and fever for intravenous (IV) antibiotic treatment. Client is alert and oriented to person, place, situation, but not time. Skin is warm and dry. Coccyx area has 4 × 3 full-thickness wound with no tunneling or exposure of muscle or bone. Thick, yellow drainage from wound noted. Right heel has reddened area that does not blanch. Heart tones are regular. Lung sounds clear bilaterally. Abdomen soft with hypoactive bowel sounds. Pedal pulse is palpable and regular. Capillary refill is less than 2 seconds in all extremities. Client is passing gas but has not had a bowel movement today. Client has no known food allergies but is allergic to ampicillin. New prescriptions received. 1415: Healthcare provider notified for medication allergy. New prescriptions received. After notifying the healthcare provider and reviewing new prescriptions, the nurse determines a plan of action. Which actions would the nurse take at this time? Select all that apply. Elevate head of bed no more than 30 degrees Avoid the side-lying position Offer foods high in zinc and copper Delegate wound irrigation to the unlicensed assistive personnel after assessment Use cooled normal saline to irrigate wound Wear gown, mask, and goggles when irrigating the wound Keep the syringe 1 inch (2.5 cm) above wound when irrigating Irrigate wound from least contaminated to most contaminated area Insert culture swab into oldest drainage Administer acetaminophen 30 minutes before wound care