Question

A client is at risk for developing a pressure injury and is placed on a repositioning regimen. The client does not like to lie on his side and complains about the need to turn. Which explanations by the nurse may enhance compliance? Select all that apply.

a) 'Turning helps maintain skin integrity by alternating areas of pressure.'
b) 'Excess pressure interferes with skin absorption of vitamin D.'
c) 'Changing positions will promote circulation and prevent contractures.'
d) 'Changing position helps prevent skin breakdown that could ultimately lead to infection.'
e) 'A repositioning schedule is a standard part of hospital policy

Answer 1

To enhance compliance with a repositioning regimen for a client at risk of pressure injuries, nurses should explain that turning maintains skin integrity, promotes circulation to prevent contractures, and reduces the risk of skin breakdown and subsequent infection.

Step-by-step explanation:

If a client is at risk for developing a pressure injury, it is essential to follow a repositioning regimen to maintain skin health. The explanations by the nurse that may enhance compliance include:

• 'Turning helps maintain skin integrity by alternating areas of pressure.' This is important because consistent pressure on one part of the body can lead to reduced blood flow, resulting in tissue damage or necrosis known as bedsores or decubitus ulcers, particularly over bony areas.
• 'Changing positions will promote circulation and prevent contractures.' Good blood circulation is crucial for delivering oxygen and nutrients to the tissues and can also prevent the muscles and tendons from becoming short and tight, which can lead to contractures.
• 'Changing position helps prevent skin breakdown that could ultimately lead to infection.' Skin breakdown can increase the risk of infection, which, if severe, can be fatal. Repositioning helps to prevent this by reducing pressure on vulnerable areas.

It is important to emphasize these health benefits to the client to encourage adherence to the repositioning schedule.