The nurse is developing unit assessment protocols for the risk of pressure ulcer development. What factors would the nurse include in this document?. Select all that apply.

Question

Quizplus · Accepted Answer

The nurse should include all of the factors listed, as they are all known risk factors for developing pressure ulcers. Moisture can increase the risk of skin breakdown, as can friction and shear. Adequate nutrition is necessary for healthy skin, and mobility status can affect a patient's ability to shift their weight and relieve pressure on certain areas. While confusion may impact a patient's ability to communicate discomfort or their need to reposition, it is not a direct risk factor for pressure ulcer development.

The Nurse Is Developing Unit Assessment Protocols for the Risk