ATI Fundamental Exams | Nurselytic

Correct Answer: D

Rationale: The correct answer is D: preventing the client from sliding in bed. Shearing force occurs when the skin moves in one direction while the underlying tissues move in the opposite direction, leading to tissue damage. By preventing the client from sliding in bed, the nurse can minimize shearing force on the pressure injury. This can be achieved by using pillows or positioning devices to keep the client in place.


Choice A is incorrect because pulling the client up from under the arms can increase shearing force on the pressure injury.
Choice B, improving the client's hydration, is important for overall skin health but does not directly address shearing force.
Choice C, lubricating the area with skin cream, can help with skin protection but does not specifically reduce shearing force.
Therefore, the best option to decrease shearing force on a stage II pressure injury is to prevent the client from sliding in bed.

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