A nurse is caring for a client who is at risk for pressure injury formation due to immobility. The nurse should place the client in which of the following positions to reduce pressure on the client's bony prominences?
Explanation & Rationale
A. 30° lateral: The 30-degree lateral position is recommended to reduce pressure on bony prominences such as the trochanters, sacrum, and heels. It distributes weight more evenly and decreases the risk of pressure injury compared to lying directly on the side or back. B. Lateral semi-prone recumbent: This position places significant pressure on the greater trochanter and shoulder, which increases the risk of skin breakdown. It is not the safest choice for clients at high risk of pressure injuries. C. Supine: Lying flat on the back concentrates pressure on the sacrum, heels, and occiput. Prolonged supine positioning without frequent repositioning contributes to rapid development of pressure injuries. D. 45° supported Fowler's: While Fowler’s position can help with breathing, it increases pressure on the sacrum and ischial tuberosities. Extended use in this position places immobile clients at a greater risk for pressure injuries.