Asked by Andrew Helmers on Apr 24, 2024
Verified
Which of the following nursing actions would be appropriate to protect the skin integrity of an immobile client?
A) Encourage client to eat at least 40% of meals
B) Keep the client's linens dry and wrinkle-free
C) Restrict their fluid intake
D) Use of warm flannel blankets is recommended
Skin Integrity
Relates to the condition of skin being whole, undamaged, and intact, and its importance in preventing infection and facilitating wound healing.
Immobility
A lack of movement or ability to move, often leading to various health complications.
- Acquire knowledge on effective strategies for protecting the ocular and cutaneous integrity of unresponsive or immobile patients.
Verified Answer
BQ
Brendon Quick7 days ago
Final Answer :
B
Explanation :
Keeping the client's linens dry and wrinkle-free is important to prevent skin breakdown and pressure ulcers. Encouraging the client to eat and drink enough fluids is important for overall health but does not directly protect skin integrity. Restricting fluid intake can lead to dehydration and further skin complications. Using warm flannel blankets can increase the risk of skin irritation and excessive heat which can damage the skin.
Learning Objectives
- Acquire knowledge on effective strategies for protecting the ocular and cutaneous integrity of unresponsive or immobile patients.
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