ATI PN Custom Fundamentals CH 38 Liz
ATI PN Custom Fundamentals CH 38 Liz ( 53 Questions)
Which of the following actions should the nurse take?
Massaging bony prominences can lead to tissue ischemia and damage, increasing the risk of pressure injuries.
Repositioning should be done every 2 hours or less for at-risk patients.
Elevating the head of the bed more than 30° can increase shear and friction, leading to pressure injuries.
A high-calorie diet can promote skin integrity and wound healing.
Choice A rationale:
Massaging bony prominences can lead to tissue ischemia and damage, increasing the risk of pressure injuries.
Choice B rationale:
Repositioning should be done every 2 hours or less for at-risk patients.
Choice C rationale:
Elevating the head of the bed more than 30° can increase shear and friction, leading to pressure injuries.
Choice D rationale:
A high-calorie diet can promote skin integrity and wound healing.