Which of the following interventions is mostly likely to minimize the cause of a pressure ulcer on the left buttock of a client who is comatose?
1. Turn and position the client at least every 2 hours.
2. Use a lift sheet when moving the client up in the bed.
3. Change wet, soiled clothing as promptly as it is detected.
4. Keep the head of the client’s bed elevated to less than 30 degrees.
ANSWER
ANS: 1
Pressure is the major cause in pressure ulcer formation, and changing the client’s position to minimize the time spent in a particular position will be the best intervention to relieve the pres-sure.
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