The nurse is caring for a client who has right-sided paralysis following a stroke.Which of the following factors would be most likely to result in decubitus ulcer formation for this client?

Question

Quizplus · Accepted Answer

The client,who has right-sided paralysis,is at increased risk for developing a pressure ulcer because of immobility.When restricted from moving freely,dependent body parts are exposed to pressure,reducing circulation to affected body parts.Also,the inability to turn or change position increases risk for pressure ulcers.Poor nutrition is a risk factor for developing a pressure ulcer but not for this client.This client is not identified as having reduced hydration.Skin secretions increase the risk for developing a pressure ulcer.However,this client's greatest risk factor is having impaired mobility.

The Nurse Is Caring for a Client Who Has Right-Sided