An Emaciated Semiconscious Bed Bound Patient Does Not Remain in a Side

question 21

Multiple Choice

An emaciated semiconscious bed bound patient does not remain in a side lying position and repeatedly turns onto her back, where she is developing a pressure area over her sacrum. The nurse should add to the nursing care plan to:

• A) raise the knees to keep the patient from sliding down.
• B) position the patient on her side and use protective wrist and vest devices to keep her from turning onto her back.
• C) assist the patient to sit in a wheelchair for short periods before returning her to bed.
• D) place the patient on her stomach (prone position) using a small pillow below her diaphragm.

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