The nurse is evaluating whether a patient's turning schedule was effective in preventing the formation of pressure ulcers. Which finding indicates success of the turning schedule?
A) Staff documentation of turning the patient every 2 hours
B) Presence of redness only on the heels of the patient
C) Patient's eating 100% of all meals
D) Absence of skin breakdown

Question

Quizplus · Accepted Answer

To determine whether a turning schedule is successful, the nurse needs to assess for the presence of skin breakdown. Redness on any part of the body, including only the patient's heels, indicates that the turning schedule was not successful. Documentation of interventions does not evaluate whether patient outcomes were met. Eating 100% of meals does not evaluate the effectiveness of a turning schedule.

The Nurse Is Evaluating Whether a Patient's Turning Schedule Was