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NCLEX Question of the Day
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A nurse is caring for a client who has been on bed rest for several days. Which intervention is most important to prevent pressure ulcers?
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Correct answer Reposition the client at least every two hours to redistribute pressure.
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Apply a donut-shaped cushion to relieve pressure on bony prominences.
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Massage over bony prominences to promote circulation and reduce pressure.
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Encourage the client to remain in one position to limit movement and reduce the risk of skin breakdown.
Rationale
Repositioning the client at least every two hours is essential in preventing pressure ulcers by redistributing pressure on the skin and underlying tissues. Encouraging the client to remain in one position increases the risk of pressure ulcer development. Donut-shaped cushions are not recommended as they can actually increase pressure on surrounding tissue. Massaging over bony prominences can cause damage to capillaries and increase the risk of pressure ulcer formation.
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