A nurse plans care for a client who is immobile.Which interventions should the nurse include in this client's plan of care to prevent pressure sores? (Select all that apply.)

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Quizplus · Accepted Answer

A small pillow decreases the risk for pressure between bony prominences,a lift sheet decreases friction and shear,and heels have poor circulation and are at high risk for pressure sores,so they should be kept off hard surfaces.Head-of-the-bed elevation greater than 30 degrees increases pressure on pelvic soft tissues.Fluids and proteins are important for maintaining tissue integrity.Clients should be repositioned every hour while sitting in a chair.A rubber ring impairs capillary blood flow,increasing the risk for a pressure sore.

A Nurse Plans Care for a Client Who Is Immobile