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Nursing Interventions to Prevent Pressure Ulcers on Bedridden People List a minimum of three nursing interventions for each heading that a nurse will complete.
Assess/Monitor
Do
Teach/Reinforce
The Answers are next
Nursing Interventions to Prevent Pressure Ulcers on Bedridden People List a minimum of three nursing interventions for each heading that a nurse will complete.
Assess/Monitor
1.
2. 3.
Inspect skin every 2 hours and document the client risk the Braden Scale. Review nutrition and dietary intake, daily. Review for signs of sepsis (changes in level of consciousness, persistent recurrent fever, tachycardia, tachypnea, hypotension, oliguria, increased WBC count).
Do
1. Maintain clean, dry skin and wrinkle-free linens. 2. Clean and dry skin immediately following urine or stool incontinence. 3. Apply barrier cream to the skin of incontinent clients. 4. Reposition at least every 2 hours and every 1 in a chair; document changes. 5. Provide adequate hydration (2,000 to 3,000 ml/day) and meet protein and caloric needs.
Teach/Reinforce
1. 2.
3.
Do not massage bony prominences. Consume foods with Vitamin A, C, zinc and copper for wound healing. Shift weight every 15 minutes while in bed to prevent pressure points.
