Question

The nurse is developing a plan of care for a client who suffered a pelvic fracture following a motor vehicle crash (MVC). Which interventions should be included in the nursing care plan to prevent skin breakdown? Select all that apply.

1: Minimize the force and friction applied to the skin.
2: Massage vigorously over bony prominences twice daily.
3: Perform a systematic skin inspection at least once a day.
4: Cleanse the skin at the time of soiling and at routine intervals.
5: Use pillows to keep the knees and other bony prominences from direct contact with one another.
6: Use hot water and a mild cleansing agent that minimizes irritation and dryness of the skin when bathing the client.

Answer 1

To prevent skin breakdown in a client with a pelvic fracture following a motor vehicle crash, the nurse should include interventions such as minimizing force and friction, performing regular skin inspections, and cleansing the skin.

Step-by-step explanation:

To prevent skin breakdown in a client with a pelvic fracture following a motor vehicle crash, the nurse should include the following interventions in the care plan:

1. Minimize the force and friction applied to the skin: This can be done by using pillows to keep the knees and other bony prominences from direct contact with one another.
2. Perform a systematic skin inspection at least once a day: Regularly inspecting the skin helps to identify any signs of breakdown or pressure ulcers at an early stage.
3. Cleanse the skin at the time of soiling and at routine intervals: Keeping the skin clean helps to prevent infection and maintain overall skin health.