Which nursing intervention is essential to prevent pressure ulcers in a patient with limited mobility?

Performing frequent and thorough skin assessments.

Applying petroleum jelly to vulnerable areas.

Placing the patient on an air mattress.

Encouraging the patient to sit for prolonged periods.

Answer and Explanation

The Correct Answer is A

Performing frequent and thorough skin assessments is essential for identifying early signs of pressure ulcers and implementing appropriate preventive measures in patients with limited mobility.

Incorrect choices:

b. Applying petroleum jelly to vulnerable areas may create a barrier but does not address the underlying issue of pressure and does not substitute for regular skin assessments and preventive measures.

c. Placing the patient on an air mattress can provide pressure redistribution, but it should be used based on individualized assessment and healthcare provider recommendations. Skin assessments remain essential.

d. Encouraging the patient to sit for prolonged periods increases the risk of pressure ulcers. Adequate repositioning and regular mobilization should be prioritized to prevent skin breakdown.

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Correct Answer is B

Explanation

Assisting the patient with passive range of motion exercises promotes joint mobility and prevents contractures and muscle atrophy when the patient is unable to move independently.

Incorrect choices: a. Encouraging the patient to remain in bed perpetuates immobility and can lead to further complications such as deconditioning and reduced muscle strength.

c. Restricting the patient's movement can worsen immobility-related complications and increase the risk of falls. Appropriate interventions should be implemented to facilitate safe mobility.

d. Restraints should be avoided as much as possible and only used as a last resort to ensure patient safety. Restraints do not promote mobility and can have negative physical and psychological effects.

A. Administering oxygen therapy. B. Assisting with incentive spirometry exercises. C. Encouraging deep breathing and coughing techniques. D. Administering prophylactic antibiotics.

Correct Answer is C

Explanation

Encouraging deep breathing and coughing techniques helps prevent respiratory complications such as atelectasis and pneumonia in patients with impaired mobility.

Incorrect choices:

a. Administering oxygen therapy may be indicated in some cases, but it does not directly address the prevention of respiratory complications associated with impaired mobility.

b. Incentive spirometry exercises are useful for promoting lung expansion and preventing atelectasis, but they are not the highest priority intervention for preventing respiratory complications.

d. Prophylactic antibiotics are not routinely administered to all patients with impaired mobility. Their use should be based on specific indications determined by the healthcare provider.

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Which nursing intervention is essential to prevent pressure ulcers in a patient with limited mobility?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing intervention promotes mobility for a patient who has been on bed rest for an extended period?

Correct Answer is B

Explanation

Which intervention should the nurse prioritize for a patient with impaired mobility to prevent respiratory complications?

Correct Answer is C

Explanation

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