Patient CareQuestion 25 of 100

A bedbound patient in a long-term care setting is at risk for pressure injuries. Which intervention best helps prevent skin breakdown?

a.Massaging vigorously over reddened bony prominences
b.Repositioning the patient at least every 2 hours and keeping skin clean and dry
c.Keeping the head of the bed elevated to 90 degrees at all times
d.Limiting fluids so the linens stay dry

Explanation

Relieving pressure by turning at least every 2 hours, plus keeping skin clean, dry, and well nourished, is the cornerstone of pressure injury prevention. Vigorous massage over reddened bony areas can damage fragile tissue and is not recommended. Constant high elevation increases shear on the sacrum, and restricting fluids causes dehydration that makes skin more fragile.

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