QOD 45: Skin Breakdown Related to Immobility (Musculoskeletal/Basic Care and Comfort)

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Question:

A nurse is caring for a patient with reduced mobility following hip surgery. Which best describes how the nurse would intervene to prevent skin breakdown from immobility?

Answer:

A.  Use padding and cushions under the heels and other bony prominences

Rationale:

Skin breakdown is a consequence of immobility; a patient who moves very little is at risk of pressure ulcers because he cannot reposition himself to take the weight off of certain parts of the body. The nurse can help to prevent skin breakdown in a patient who has difficulty with repositioning by using padding under bony prominences to decrease the amount of pressure placed on these areas.

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