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A Nurse Is Caring for an Immobile Client with a Large

Question 23

Multiple Choice

A nurse is caring for an immobile client with a large pressure ulcer on her left ankle.Which of the following statements by the nurse best reflects critical thinking regarding client care?


A) "I'm sure that friction and pressure have caused this problem."
B) "Please be sure that her ankles are well padded when you place her in bed."
C) "Do you have any suggestions on how we can minimize the pressure to her ankles?"
D) "It was an ineffective turning schedule that allowed this to happen so now we will reposition every hour."

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