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    Health assessment (chamberlain university)

    The nurse is teaching a client's family member about how to prevent pressure injuries when they are discharged home. Which should the nurse include in the instruction?

    Explanation & Rationale

    Choice A reason: Keeping an incontinence brief on the client may actually increase the risk of pressure injuries because moisture from urine or stool can break down skin integrity. Prolonged exposure to moisture creates a favorable environment for skin breakdown and infection. Choice B reason: Applying oxygen as needed is important for clients with respiratory conditions but does not prevent pressure injuries. Oxygen therapy addresses oxygenation, not skin integrity or pressure redistribution. Choice C reason: Helping the client to move positions often is the most effective preventive measure against pressure injuries. Frequent repositioning reduces prolonged pressure on bony prominences, improves circulation, and decreases the risk of ischemia and tissue breakdown. This is the cornerstone of pressure injury prevention. Choice D reason: Notifying the provider if a wound occurs is a reactive measure rather than a preventive one. While it is important to report wounds promptly, prevention strategies such as repositioning are more effective in reducing the risk of pressure injuries before they develop.

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