Which positioning technique should the nurse use to prevent pressure ulcers in a patient with limited mobility?
Placing the patient in a prone position for extended periods.
Elevating the head of the bed to 90 degrees.
Supporting bony prominences with pillows or foam pads.
Encouraging the patient to sit in a chair for long periods.
The Correct Answer is C
Supporting bony prominences with pillows or foam pads helps distribute pressure and reduces the risk of pressure ulcers in patients with limited mobility.
Incorrect choices:
a. Placing the patient in a prone position for extended periods increases the risk of pressure ulcers, especially on the anterior aspects of the body.
b. Elevating the head of the bed to 90 degrees can lead to shearing forces and increase the risk of pressure ulcers.
d. Encouraging the patient to sit in a chair for long periods without adequate repositioning can also increase the risk of pressure ulcers.
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Related Questions
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.
Correct Answer is A
Explanation
Encouraging frequent changes in position helps prevent contractures by promoting joint mobility and preventing prolonged pressure on specific areas.
Incorrect choices:
b. Applying heat packs to stiff joints may provide temporary relief but does not address the underlying issue of immobility or prevent contractures.
c. Administering muscle relaxants is not the standard intervention for preventing contractures. The focus should be on promoting mobility and range of motion exercises.
d. Using soft restraints to immobilize the extremities is not an appropriate intervention for preventing contractures. Restraints should only be used when necessary and as a last resort, considering the patient's safety and autonomy.
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