The outcome for the client on bed rest is that client has intact skin in 2 weeks. Which rationale justifies the use of a support surface or special mattress?
1. Manages pain and comfort
2. Prevents joint contractures
3. Eliminates need for turning
4. Reduces risks of immobility
4
4. The nurse uses a support surface or special mattress for the client to reduce the risks associated with immobility including impaired skin integrity by reducing or relieving pressure on the client's skin, especially at bony prominences.
1 and 2. Clinical research does not support the claim that support surfaces or special mattresses decrease pain, promote comfort, or prevent contractures; however, if the outcome of using a support surface is improved skin integrity or healing, the long-term pain level should improve. The nurse prevents contractures with range of motion, physical therapy, and splints.
3. The nurse continues to turn and reposition the client on a support surface to pro-vide comprehensive nursing care designed to maintain skin integrity because pressure on the client's skin cannot be eliminated.
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