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The nurse is assessing an elderly bedridden client. Which finding indicates that the turning and positioning schedule is effective in protecting the client's skin?

A. The client verbalizes feeling better after being turned and positioned.
B. Reddened skin areas disappear within 15 minutes of being turned and positioned.
C. No complains of pressure or pain are verbalized by the client after being turned.
D. Only small areas of redness remain longer than 30 minutes after the client is turned.

User ZaTricky
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1 Answer

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Final answer:

The turning and positioning schedule for a bedridden client is effective when reddened skin areas recover within 15 minutes of turning the client, which helps prevent bedsores. The correct answer is B. Reddened skin areas disappear within 15 minutes of being turned and positioned.

Step-by-step explanation:

The correct answer is B. Reddened skin areas disappear within 15 minutes of being turned and positioned.

The main goal of a turning and positioning schedule for bedridden clients is to prevent bedsores, also known as decubitis ulcers. These are caused by prolonged pressure on the skin, particularly over bony areas, leading to reduced blood flow and tissue death. An effective schedule is indicated by the skin's ability to recover from redness within a short time after pressure is relieved, hence the disappearence of reddened areas within 15 minutes is the evidence of an effective schedule. It is crucial that the skin is regularly assessed for any signs of pressure ulcers, and if any skin redness persists for longer than 30 minutes, it should be carefully monitored as it can indicate the beginning of skin breakdown.

While verbalized comfort and absence of complaints may be important, they can be subjective and not all patients might verbalize discomfort. Additionally, small areas of redness remaining longer than 30 minutes could be indicative of the start of tissue damage and should prompt further assessment and possible intervention.

User Irrational
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