Asked by Day of Discovery on Jul 27, 2024
Verified
The nurse is caring for a patient who was involved in an automobile accident 2 weeks ago. The patient sustained a head injury and is unconscious. Which priority element will the nurse consider when planning care to decrease the development of a decubitus ulcer?
A) Resistance
B) Pressure
C) Weight
D) Stress
Decubitus Ulcer
Also known as a pressure ulcer or bedsore, it is an injury to the skin and underlying tissue due to prolonged pressure, often affecting bedridden patients.
Automobile Accident
An unexpected event involving one or more vehicles, leading to damage or injury.
Head Injury
A physical trauma to the head, which can affect the brain, skull, or scalp.
- Understand the factors influencing decubitus ulcer development and prevention methods.
Verified Answer
AM
Armani MorganJul 27, 2024
Final Answer :
B
Explanation :
Pressure is the main element that causes pressure ulcers. Three pressure-related factors contribute to pressure ulcer development: pressure intensity, pressure duration, and tissue tolerance. When the intensity of the pressure exerted on the capillary exceeds 15 to 32 mm Hg, this occludes the vessel, causing ischemic injury to the tissues it normally feeds. High pressure over a short time and low pressure over a long time cause skin breakdown. Resistance, stress, and weight are not the priority causes of pressure ulcers.
Learning Objectives
- Understand the factors influencing decubitus ulcer development and prevention methods.
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