A rehabilitation nurse cares for a client who is wheelchair bound.Which intervention should the nurse implement to prevent skin breakdown?

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Clients who sit for prolonged periods in a wheelchair should perform wheelchair push-ups for at least 10 seconds every hour.Chair-bound clients also need to be re-positioned at least every 1 to 2 hours.The lower legs,where the wheelchair could rub against the legs,also need to be assessed.Pillows under the heels could exert pressure on the heels; it is better to place the pillow under the ankle.Performing wound care as prescribed is important to improve the healing of pressure ulcers,but this intervention will not prevent skin breakdown.The calves of a client with no or decreased lower extremity mobility should not be massaged because of the risk of embolization or thrombus.

A Rehabilitation Nurse Cares for a Client Who Is Wheelchair