The client's expected outcome is The client will maintain skin integrity by discharge. Which of the following measures is best in evaluating the outcome?
A) The client's ability to reposition self in bed.
B) Pressure-relieving mattress on the bed.
C) Percent intake of a diet high in protein.
D) Condition of the skin over bony prominences.

Question

Quizplus · Accepted Answer

The condition of the skin over bony prominences directly correlates to maintaining skin integrity. If the skin is intact, it is a good indication that pressure ulcers have not developed. The client's ability to reposition themselves and the use of a pressure-relieving mattress are important preventative measures, but they do not directly evaluate the outcome of skin integrity. The percent intake of a high protein diet may have indirect benefits, but it does not directly evaluate skin integrity either.

The Client's Expected Outcome Is the Client Will Maintain Skin