Basic Nursing SkillsQuestion 81 of 200
Pressure injury prevention for an immobile resident includes:
a.Leave in one position 6 hours to allow rest
b.Massage reddened bony prominences vigorously
c.Use a doughnut-shaped cushion under the sacrum
d.Reposition at least every 2 hours, off-load heels (heel float), keep skin clean and dry, use pressure-redistribution surfaces, maintain nutrition/hydration
Explanation
Per NPUAP/EPUAP guidelines, prevention requires turning at least every 2 hours, off-loading heels (pillow under calf, not under heel itself), keeping skin clean and dry, using pressure-redistribution mattresses, and maintaining nutrition/hydration. Prolonged single position (a) causes ischemia; massaging reddened areas (b) damages capillaries; doughnut cushions (c) concentrate pressure on a ring and worsen tissue damage.
Law Reference: NPUAP/EPUAP pressure injury preventionPractice all 200 questions free — no signup required.
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