The nurse is concerned that a client is at risk for pressure ulcers.Which assessment data supports the nurse's concern? Select all that apply.
A) Age 54
B) Body temperature within normal limits
C) Low serum albumin level
D) Continence of urine and stool
E) Prescribed bedrest

Question

Quizplus · Accepted Answer

A) Risk factors for pressure ulcer development include immobility and inadequate nutrition. The client who is prescribed bedrest is at risk for immobility, and a low serum albumin level is evidence of inadequate nutrition. Continence of urine and stool would reduce the risk of pressure ulcer development. The age of 54 would not increase the client's risk for pressure ulcer development. A normal body temperature would reduce the client's risk for pressure ulcer development.
B) Risk factors for pressure ulcer development include immobility and inadequate nutrition. The client who is prescribed bedrest is at risk for immobility, and a low serum albumin level is evidence of inadequate nutrition. Continence of urine and stool would reduce the risk of pressure ulcer development. The age of 54 would not increase the client's risk for pressure ulcer development. A normal body temperature would reduce the client's risk for pressure ulcer development.
C) Risk factors for pressure ulcer development include immobility and inadequate nutrition. The client who is prescribed bedrest is at risk for immobility, and a low serum albumin level is evidence of inadequate nutrition. Continence of urine and stool would reduce the risk of pressure ulcer development. The age of 54 would not increase the client's risk for pressure ulcer development. A normal body temperature would reduce the client's risk for pressure ulcer development.
D) Risk factors for pressure ulcer development include immobility and inadequate nutrition. The client who is prescribed bedrest is at risk for immobility, and a low serum albumin level is evidence of inadequate nutrition. Continence of urine and stool would reduce the risk of pressure ulcer development. The age of 54 would not increase the client's risk for pressure ulcer development. A normal body temperature would reduce the client's risk for pressure ulcer development.
E) Risk factors for pressure ulcer development include immobility and inadequate nutrition. The client who is prescribed bedrest is at risk for immobility, and a low serum albumin level is evidence of inadequate nutrition. Continence of urine and stool would reduce the risk of pressure ulcer development. The age of 54 would not increase the client's risk for pressure ulcer development. A normal body temperature would reduce the client's risk for pressure ulcer development.

The Nurse Is Concerned That a Client Is at Risk