Question

When caring for the client who is at risk for developing pressure ulcers, the nurse should avoid which one of the following? A. Cleansing the skin with a pH-balanced soap B. Lubricating the skin with a moisturizing cream C. Massaging reddened areas of the skin D. Using absorbent garments for incontinence

Short answer

A) Cleansing the skin with a pH-balanced soap B) Lubricating the skin with a moisturizing cream C) Massaging reddened areas of the skin D) Using absorbent garments for incontinence Answer: C) Massaging reddened areas of the skin

Step-by-step solution

Recognize the best practices for preventing pressure ulcers

In order to prevent pressure ulcers, it is important to maintain proper skin hygiene, moisturize the skin, avoid friction and shear, and manage incontinence properly. Let's analyze each option provided in the question to see which one is not recommended for a client at risk for pressure ulcers.

Analyze option A

Option A suggests cleansing the skin with a pH-balanced soap. This is a good practice, as maintaining skin hygiene is crucial to prevent pressure ulcers. Therefore, option A is not the correct answer.

Analyze option B

Option B suggests lubricating the skin with a moisturizing cream. This practice is also recommended, as it helps to maintain skin barrier function and prevent skin breakdown. Therefore, option B is not the correct answer.

Analyze option C

Option C suggests massaging reddened areas of the skin. This practice is not recommended, as it can lead to further damage to the skin and underlying tissues in a client at risk for pressure ulcers. Therefore, option C is the correct answer.

Analyze option D

Option D suggests using absorbent garments for incontinence. Managing incontinence is important in preventing pressure ulcers, as excessive moisture can lead to skin breakdown. Therefore, option D is not the correct answer.

Conclusion

After analyzing all the options, we can conclude that the nurse should avoid option C, massaging reddened areas of the skin, when caring for a client who is at risk for developing pressure ulcers.