To prevent pressure ulcers in a frail elderly client, the nurse would (Select all that apply)
A) bathe and dry the skin vigorously to stimulate circulation.
B) keep the head of the bed elevated 30 degrees.
C) offer nutritional supplements and frequent snacks.
D) turn the client at least every 2 hours.

Question

Quizplus · Accepted Answer

Clients should be turned at least every 2 hours as permanent damage can occur in 2 hours or less. If skin assessment reveals a stage I ulcer while on a 2-hour turning schedule, the client must be turned more frequently. Protein-calorie malnutrition is another major risk factor for developing pressure ulcers. Additional supplements boost nutritional status, which is essential to healthy skin. Use of doughnuts, elevated head of beds, and overstimulation of skin may all stimulate, if not actually encourage, dermal decline.

To Prevent Pressure Ulcers in a Frail Elderly Client, the Nurse