A nurse is caring for a patient at risk of a pressure injury. Which intervention best prevents prolonged pressure over the sacrum?
Correct answer: B. Reposition the patient at planned intervals
- A. Massage reddened skin over the sacrum
- B. Reposition the patient at planned intervals
- C. Use a donut-shaped ring under the sacrum
- D. Keep the head of bed elevated as high as possible
Explanation
Regular repositioning relieves pressure and supports tissue perfusion, with the schedule based on the patient's condition and support surface. Massaging reddened skin can damage tissue, donut rings concentrate pressure, and high head elevation can increase shear.
Report an error
The more specific you are, the faster it gets fixed. A source beats an opinion.
Prefer email? support@testustad.com
About Wound Care and Dressings
Wound care covers wound classification, healing stages, assessment of tissue and drainage, pain, infection signs, dressing selection and clean or sterile dressing technique. It also includes pressure injuries by stage and the factors affecting healing, such as nutrition, circulation, diabetes, infection and prolonged pressure.
Practise Wound Care and Dressings
50 free Wound Care and Dressings MCQs from Fundamentals of Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
Discussion
Stuck on an option, or know a faster way to get there? Ask or explain it here.
No comments yet. Be the first to explain this one.
Exams that ask Fundamentals of Nursing questions like this
Fundamentals of Nursing is on 9 papers prepared for on TestUstad, and all of them draw the same bank, so this question is worth knowing for every one of them.
More Wound Care and Dressings questions
A patient reports severe pain before a planned dressing change. Which nursing action is most appropriate?
A patient with diabetes has a foot wound and a blood glucose level of 286 mg/dL. Which factor explains why uncontrolled diabetes can delay wound healing?
A patient with a large wound has poor appetite and delayed healing. Which nutrient is most directly needed for collagen formation and tissue repair?
Which event is characteristic of the proliferative phase of wound healing?
A pressure injury has intact skin with persistent, non-blanchable redness over a bony prominence. How should it be classified?
Which description indicates an unstageable pressure injury?