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.
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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Related Questions
Correct Answer is D
Explanation
The semi-Fowler's position with the knees slightly flexed promotes lung expansion by allowing the diaphragm to descend fully and reducing the risk of respiratory complications in immobile patients.
Incorrect choices:
a. The supine position with the head of the bed elevated may cause the diaphragm to be restricted, limiting lung expansion and potentially leading to respiratory complications.
b. The prone position is not suitable for immobile patients and may increase the risk of pressure ulcers and respiratory difficulties.
c. The lateral position with the affected side down may compromise lung expansion and increase the risk of respiratory complications in immobile patients.
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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