Question

The client is at risk for impaired skin integrity related to the need for several weeks of bed rest. The nurse evaluates the client after one week and finds the skin integrity is not impaired. In evaluating the plan of care, what is the nurse's best action?

A) Continue the care plan as is
B) Modify the care plan to increase preventive measures
C) Discontinue the bed rest
D) Refer to a wound care specialist

Answer 1

The nurse's best action would be to continue the care plan as is because the client's skin integrity is not impaired.

Step-by-step explanation:

After evaluating the client and finding that the skin integrity is not impaired after one week of bed rest, the nurse's best action would be to continue the care plan as is. This means that the current preventive measures in place are effective in maintaining the client's skin integrity. If the nurse were to modify the care plan to increase preventive measures, it may not be necessary or beneficial since the client's skin is not currently impaired. Discontinuing the bed rest or referring to a wound care specialist are not warranted in this situation.