Question

9\. 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

Answer: C. Massaging reddened areas of the skin

Step-by-step solution

Option A: Cleansing the skin with a pH-balanced soap

Cleansing the skin with a pH-balanced soap is a good practice, as it helps to maintain the natural balance of the skin and prevents excessive dryness or irritation. This would not be the action that the nurse should avoid.

Option B: Lubricating the skin with a moisturizing cream

Lubricating the skin with a moisturizing cream is another good practice, as it helps to keep the skin hydrated and prevents dryness and cracking. This action would also not be the one the nurse should avoid.

Option C: Massaging reddened areas of the skin

Massaging reddened areas of the skin is not recommended for clients at risk of developing pressure ulcers. This is because massaging can increase pressure on the already vulnerable areas and potentially cause further damage to the skin and underlying tissues. This is the action that the nurse should avoid.

Option D: Using absorbent garments for incontinence

Using absorbent garments for incontinence helps to keep the skin dry and protect it from moisture-associated skin damage. This action is another good practice and would not be the one the nurse should avoid. The correct answer is: C. Massaging reddened areas of the skin