[Answered]: A nurse identifies a 1-cm superficial circular break…

A nurse identifies a 1-cm superficial circular break in the skin over the right trochanter of a patient during an admission assessment. What should the nurse do first? 1. Initiate a turning schedule. 2. Complete a skin assessment form. 3. Inform the primary health-care provider of the patient’s status. 4. Start wound care based on the agency’s pressure ulcer protocol.