Which of the following clients has the greatest risk for friction-induced skin breakdown?
1. A client who is obese and is frequently incontinent of both urine and feces
2. A client who insists she is comfortable only when positioned on her left side
3. A client who is cognitively impaired and comforts herself by wringing her hands
4. An immobile client who slides down in the recliner where he spends the morning hours
ANSWER
ANS: 3
A friction injury occurs in clients who are restless or in those who have uncontrollable movements or any repetitive skin-against-skin motion. The other options represent friction or moisture factors that contribute to skin breakdown.
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