# 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?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=505794&lang=en  
> language: en  
> subject: Basic Care and Comfort  
> category: 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?

## Option

1. Massage the heels with lotion every 2 hours.
2. Place a donut-shaped cushion under the heels.
3. Elevate the heels off the bed using a pillow under the calves. **✔ Correct answer**
4. Apply a heating pad to the heels to promote circulation.

**Correct answer: 3**

## 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.

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