The nurse is instructing the nursing assistant to prevent pressure ulcers in a frail older patient; the nursing assistant understands the instruction when she agrees to
A) bathe and dry the skin vigorously to stimulate circulation.
B) keep the head of the bed elevated 30 degrees.
C) limit intake of fluid and offer frequent snacks.
D) turn the patient at least every 2 hours.

Question

Quizplus · Accepted Answer

The patient should be turned at least every 2 hours as permanent damage can occur in 2 hours or less.If skin assessment reveals a stage I ulcer while on a 2-hour turning schedule,the patient must be turned more frequently.Limiting fluids will prevent healing; however,offering snacks is indicated to increase healing particularly if they are protein based,because protein plays a role in healing.Use of doughnuts,elevated heads of beds,and overstimulation of skin may all stimulate,if not actually encourage,dermal decline.

The Nurse Is Instructing the Nursing Assistant to Prevent Pressure