An older adult client is admitted to the medical-surgical unit for a hip fracture.During postoperative recovery,the nurse notices a stage I pressure ulcer forming on the client's sacrum.Which action by the nurse is appropriate to reduce the progression of this ulceration?

Question

Quizplus · Accepted Answer

A) Keeping the head of the bed at an angle of 30° or less decreases pressure on the sacrum. An angle of 45° would be too severe and could exacerbate pressure ulcer formation on the sacrum. Dry dressings are not indicated with this stage of pressure wound. Heat lamp is a method no longer used because it does not provide therapeutic benefit.
B) Keeping the head of the bed at an angle of 30° or less decreases pressure on the sacrum. An angle of 45° would be too severe and could exacerbate pressure ulcer formation on the sacrum. Dry dressings are not indicated with this stage of pressure wound. Heat lamp is a method no longer used because it does not provide therapeutic benefit.
C) Keeping the head of the bed at an angle of 30° or less decreases pressure on the sacrum. An angle of 45° would be too severe and could exacerbate pressure ulcer formation on the sacrum. Dry dressings are not indicated with this stage of pressure wound. Heat lamp is a method no longer used because it does not provide therapeutic benefit.
D) Keeping the head of the bed at an angle of 30° or less decreases pressure on the sacrum. An angle of 45° would be too severe and could exacerbate pressure ulcer formation on the sacrum. Dry dressings are not indicated with this stage of pressure wound. Heat lamp is a method no longer used because it does not provide therapeutic benefit.

An Older Adult Client Is Admitted to the Medical-Surgical Unit