A nurse cares for many clients with pressure injuries. What actions by the nurse are considered best practice? (Select all that applies)

A. Use normal saline to cleanse the skin around the pressure injury: Normal saline is isotonic, non-irritating, and safe for wound cleansing. It helps remove debris and exudate without damaging healthy tissue, supporting optimal healing and preventing further skin trauma. B. Soak eschar daily until it softens and can be removed: Soaking stable eschar on a heel or ischemic area is not recommended, as eschar can serve as a natural protective barrier. Aggressive debridement or soaking can increase infection risk and damage underlying viable tissue; eschar removal should only occur when ordered and clinically indicated. C. Conduct ongoing assessment that include pain: Regular assessment of pressure injuries, including pain evaluation, is essential to guide wound care interventions, monitor healing progress, and adjust pain management strategies. Pain assessment also helps improve client comfort and adherence to care. D. Consult with a registered dietician nutritionist: Nutrition plays a critical role in wound healing. Consulting a dietician ensures adequate protein, calorie, and micronutrient intake, which supports tissue repair, immune function, and overall recovery from pressure injuries. E. Consider the use of adjuvant therapies for nonhealing wounds: For chronic or nonhealing wounds, evidence-based adjuvant therapies such as negative-pressure wound therapy, growth factors, or specialized dressings can promote healing and prevent complications. Considering these options reflects best practice for advanced wound management. F. Use antimicrobial agents to clean wounds that are affected: Wounds showing signs of infection or heavy bacterial colonization may benefit from topical antimicrobial agents. This helps prevent systemic infection and promotes a safe healing environment, although routine use in non-infected wounds is not recommended.