A nurse is caring for a client confined to bed for an extended period due to immobility. Which intervention is the MOST effective for reducing the risk of skin breakdown?
Support bony areas using a donut-shaped cushion.
Change the client’s position at regular intervals.
Perform a daily visual check for early signs of ulceration.
Keep the skin moisturized with lotion twice a day.
Frequent changes in the client's position are the most effective intervention to reduce the risk of skin breakdown because they relieve prolonged pressure on vulnerable areas like the sacrum, heels, and shoulder blades. This reduces the likelihood of tissue ischemia and promotes adequate blood flow to prevent the formation of pressure injuries. While keeping the skin hydrated with lotion is beneficial for maintaining skin elasticity, it does not address the effects of sustained pressure on specific areas. Specialized cushions, like donut-shaped cushions, can aggravate the problem by creating concentrated pressure points and decreasing circulation. Conducting skin assessments helps in identifying early signs of injury but does not replace proactive measures like regular repositioning to prevent issues from occurring.
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