Which intervention best reduces pressure injury risk for a patient who cannot move the heels independently?
Correct answer: A. Place a pillow under the calves to float the heels
- A. Place a pillow under the calves to float the heels
- B. Massage reddened skin over each heel every shift
- C. Keep the heels directly against the mattress
- D. Place a ring-shaped device beneath each heel
Explanation
A pillow under the calves can elevate the heels so they do not bear direct pressure against the mattress. Reddened skin should not be massaged, and ring devices can concentrate pressure around their edges rather than relieving it.
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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.
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50 free Wound Care and Dressings MCQs from Fundamentals of Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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