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A patient diagnosed with Risk for Impaired Skin Integrity is being assessed by the nurse. Which of the following would be priority areas to check? Select all that apply:

a) Behind the ears
b) Elbows
c) Under TED hose on ankle and heels
d) Skin under urinary catheter tubing on leg

User DilumN
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Final answer:

Priority areas to check for a patient with Risk for Impaired Skin Integrity include behind the ears, elbows, under TED hose on ankle and heels, and skin under urinary catheter tubing on the leg. These areas are prone to pressure, friction, and moisture which can lead to skin breakdown.

Step-by-step explanation:

A patient diagnosed with Risk for Impaired Skin Integrity should be thoroughly assessed for areas where skin breakdown may occur. These areas often include places where the skin is subjected to pressure, friction, moisture, and where medical devices may create additional stress on the skin. Priority areas to check in such patients include:

  • Behind the ears - This area can experience pressure, especially in bedridden patients or those who lay on one side for extended periods.
  • Elbows - The bony prominence and repeated movement can lead to skin integrity issues.
  • Under TED hose on ankle and heels - Compression stockings can lead to pressure sores if they are too tight or not applied correctly.
  • Skin under urinary catheter tubing on leg - Medical devices like catheters can cause pressure or friction that may compromise skin integrity.

These areas need to be regularly monitored and assessed for any signs of redness, breakdown, moisture, or other changes that can indicate the beginning stages of skin damage.

User Ngroot
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