Which positioning technique should the nurse use to prevent pressure ulcers in a patient with limited mobility?

Placing the patient in a prone position for extended periods.

Elevating the head of the bed to 90 degrees.

Supporting bony prominences with pillows or foam pads.

Encouraging the patient to sit in a chair for long periods.

Answer and Explanation

The Correct Answer is C

Supporting bony prominences with pillows or foam pads helps distribute pressure and reduces the risk of pressure ulcers in patients with limited mobility.

Incorrect choices:

a. Placing the patient in a prone position for extended periods increases the risk of pressure ulcers, especially on the anterior aspects of the body.

b. Elevating the head of the bed to 90 degrees can lead to shearing forces and increase the risk of pressure ulcers.

d. Encouraging the patient to sit in a chair for long periods without adequate repositioning can also increase the risk of pressure ulcers.

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Free Nursing Study Resources

Correct Answer is A

Explanation

Performing frequent and thorough skin assessments is essential for identifying early signs of pressure ulcers and implementing appropriate preventive measures in patients with limited mobility.

Incorrect choices:

b. Applying petroleum jelly to vulnerable areas may create a barrier but does not address the underlying issue of pressure and does not substitute for regular skin assessments and preventive measures.

c. Placing the patient on an air mattress can provide pressure redistribution, but it should be used based on individualized assessment and healthcare provider recommendations. Skin assessments remain essential.

d. Encouraging the patient to sit for prolonged periods increases the risk of pressure ulcers. Adequate repositioning and regular mobilization should be prioritized to prevent skin breakdown.

A. Encouraging frequent ambulation and leg exercises. B. Administering sedatives to promote restfulness. C. Applying cold compresses to the lower extremities. D. Limiting fluid intake to prevent swelling.

Correct Answer is A

Explanation

Encouraging frequent ambulation and leg exercises helps prevent venous stasis and promotes blood flow, reducing the risk of venous thromboembolism (VTE) in immobile patients.

Incorrect choices:

b. Administering sedatives can increase the risk of VTE by promoting immobility and reducing leg movement. It is not an appropriate preventive measure.

c. Applying cold compresses to the lower extremities does not directly prevent VTE. Warm compresses may be used to promote circulation, but prevention strategies primarily focus on mobilization and blood flow promotion.

d. Limiting fluid intake does not directly prevent VTE. Adequate hydration should be maintained to promote circulation and prevent complications such as dehydration and urinary tract infections.

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Which positioning technique should the nurse use to prevent pressure ulcers in a patient with limited mobility?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing intervention is essential to prevent pressure ulcers in a patient with limited mobility?

Correct Answer is A

Explanation

Which intervention is important for preventing venous thromboembolism (VTE) in an immobile patient?

Correct Answer is A

Explanation

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