The nurse is caring for a post-operative client at risk for a pressure ulcer. Which intervention should the nurse include in the plan of care? A. Apply sequential compression devicesB. Apply an extra sheet to the bedC. Position the client on a donut pillowD. Encourage the consumption of high-protein foods
Question
The nurse is caring for a post-operative client at risk for a pressure ulcer. Which intervention should the nurse include in the plan of care? A. Apply sequential compression devicesB. Apply an extra sheet to the bedC. Position the client on a donut pillowD. Encourage the consumption of high-protein foods
Solution
D. Encourage the consumption of high-protein foods
Explanation:
Pressure ulcers, also known as bedsores, are injuries to the skin and underlying tissue resulting from prolonged pressure on the skin. They most often develop on skin that covers bony areas of the body, such as the heels, ankles, hips, and tailbone.
A. Applying sequential compression devices is not typically used for preventing pressure ulcers. These devices are used to prevent deep vein thrombosis.
B. Applying an extra sheet to the bed does not alleviate pressure on bony prominences and therefore would not prevent pressure ulcers.
C. Positioning the client on a donut pillow can actually increase the risk of developing pressure ulcers by increasing pressure on the perineal area.
D. Encouraging the consumption of high-protein foods can help in the prevention of pressure ulcers. Adequate nutrition, particularly protein, is needed for skin health and integrity. Therefore, this is the best intervention to include in the plan of care for this client.
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