A nurse is caring for an immobile client who is at risk for … | MyMerci
Basic Care and Comfort BCC
Question

A nurse is caring for an immobile client who is at risk for pressure injury. Which action should the nurse take to prevent heel pressure ulcers?

Explanation
Elevating the heels off the bed using a pillow under the calves relieves pressure on the heels, which is a key intervention to prevent heel pressure ulcers. Massaging the heels can cause friction and damage fragile tissue. Donut-shaped cushions create pressure points and are not recommended. Applying heat can increase metabolic demand and risk of injury in immobile clients.
Next question on this topicA nurse is caring for a client who has been receiving continuous enteral tube feeding for …
Browse all questions No login required

Master the NCLEX-RN with MyMerci

Thousands of NCLEX-style questions with detailed rationale — in your language. Track your progress and study smarter.

Start for free
Read in another language: English한국어日本語繁體中文Tiếng Việt

For study reference only. Always follow current clinical guidelines and your institution’s protocols.