Skin Integrity And Pressure Injury Prevention Practice Test

A 64-year-old client is 1 day post-operative after knee replacement and needs assistance to turn in bed. The nurse notes the client slides down in bed frequently; sacral skin is intact but reddened and blanchable. Braden Scale score is 13. Current interventions include a trapeze bar and antiembolism stockings. The nurse should question which preventative measure?

An 83-year-old client with a recent stroke is incontinent of urine and requires total assistance for repositioning. Skin assessment shows maceration in the perineal area and blanchable redness over the coccyx. Braden Scale score is 11. Current interventions include briefs, barrier cream as needed, and turning when staff is available. The nurse should question which preventative measure?