A nurse is caring for an immobile client who is at risk for … | MyMerci
Basic Care and ComfortBCC
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?
1Massage the heels with lotion every 2 hours.
2Place a donut-shaped cushion under the heels.
3Elevate the heels off the bed using a pillow under the calves.✓ Correct answer
4Apply a heating pad to the heels to promote circulation.
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.