Which nursing intervention promotes skin integrity for a bedridden patient?

Correct Answer: C

Rationale: Using pressure-reducing devices and repositioning promotes skin integrity in bedridden patients by alleviating pressure on vulnerable areas, enhancing circulation, and preventing ulcers. Vigorous massage over bony prominences risks tissue damage, not protection. Prolonged same-positioning causes pressure sores exactly what's to be avoided. Heat packs directly applied can burn or dry skin, worsening integrity. Nurses combine mattresses or cushions with regular turns (e.g., every 2 hours) to distribute weight, a proven strategy for maintaining healthy skin in immobile patients.

Correct Answer: C

Rationale: Explaining meal choices and allowing the patient to decide respects autonomy, boosts morale, and ensures dietary needs align with preferences, enhancing satisfaction. Skipping hygiene risks infection hand washing is non-negotiable. Choosing without input dismisses patient voice, reducing dignity. Serving all at once overwhelms and ignores timing needs. Nurses present options within medical limits, fostering control and comfort, a small but impactful step in holistic care before feeding assistance.

Correct Answer: B

Rationale: Emptying the drainage container frequently prevents overflow, promoting comfort by avoiding leaks or pressure buildup that could irritate the wound site or distress the patient. Waiting until full risks mess and infection, reducing comfort. Discouraging observation might ease anxiety but doesn't address physical needs education can help instead. Limiting fluids alters drainage minimally and risks dehydration, not comfort. Nurses monitor and empty as needed, ensuring the system works smoothly, enhancing patient ease and trust in care.

Correct Answer: D

Rationale: A fracture pan assists bedridden patients with impaired mobility by offering a low-profile, contoured bedpan that slides easily under hips, aiding elimination without excessive lifting or strain. Elevating legs isn't its role pillows do that. Larger space for movement doesn't apply; it's compact for function. Pressure ulcer prevention relates to positioning, not pans its focus is toileting. Nurses use it for fractured or post-surgical patients, ensuring hygiene and comfort with minimal disruption, a specialized tool for dependent care.

Correct Answer: D

Rationale: Securing the catheter tubing to the leg promotes safety by preventing tugging or dislodgement during bathroom use, reducing infection or injury risk. Loose tubing trips or pulls the catheter out. Pulling on it intentionally harms patients need guidance against this. Disconnecting breaches sterility, inviting germs. Nurses use straps or tape, ensuring slack for movement but firmness for stability, maintaining catheter function and patient safety in daily activities.