When changing the soiled linen on the bed of a client who is comatose,the nurse notices a reddened,blanchable area approximately 2 cm in diameter on her left buttock.The nurse's initial skin breakdown intervention is to:

Question

Quizplus · Accepted Answer

Pressure is the major cause in pressure ulcer formation,and changing the client's position to minimize the time spent in a particular position will be the best intervention to relieve the pressure.The remaining options are appropriate,but none has priority over proper positioning of the client.

When Changing the Soiled Linen on the Bed of a Client