ATI PN Custom Fundamentals CH 38 Liz
ATI PN Custom Fundamentals CH 38 Liz ( 53 Questions)
Which of the following clients should the nurse identify is at the highest risk for developing a pressure injury?
An unresponsive client who only occasionally changes position is at the highest risk for developing a pressure injury due to prolonged pressure on certain areas of the body.
A client who is alert and responsive and eats 25% of each meal is at lower risk as they are likely to move more frequently.
A client who makes frequent slight changes in position and walks occasionally is at lower risk due to regular movement.
A client who is receiving enteral feeding and can change position independently is at lower risk as they are able to relieve pressure regularly.
Choice A rationale:
An unresponsive client who only occasionally changes position is at the highest risk for developing a pressure injury due to prolonged pressure on certain areas of the body.
Choice B rationale:
A client who is alert and responsive and eats 25% of each meal is at lower risk as they are likely to move more frequently.
Choice C rationale:
A client who makes frequent slight changes in position and walks occasionally is at lower risk due to regular movement.
Choice D rationale:
A client who is receiving enteral feeding and can change position independently is at lower risk as they are able to relieve pressure regularly.