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The Nurse Is Prioritizing Care to Prevent Pressure Sores for a Client

Question 48

Multiple Choice

The nurse is prioritizing care to prevent pressure sores for a client who is immobilized.Which interventions are appropriate?


A) Place a small pillow between bony surfaces.
B) Elevate the head of the bed to 45 degrees.
C) Limit fluids and proteins in the diet.
D) Use a lift sheet to assist with repositioning.
E) Reposition the client who is in a chair every 2 hours.
F) Keep the heels off the bed surfaces.
G) Use a rubber ring to decrease sacral pressure when up in the chair.

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