The nurse instructs a group of older adults on how to maintain intact skin. What would be included in the teaching plan? (Select all that apply.)
a. Altering their body position every 30 minutes while sitting in the chair
b. Changing incontinent products when they become soiled
c. Using a pressure-relieving device like the "donut" to sit on
d. Routinely checking their feet for redness and indentations
e. Patting the skin dry after a shower or bath
ANS: A, B, E
Frequent changes in body position, changing damp pads and briefs, and patting the skin dry will promote skin integrity. The "donut" causes pressure to surrounding area when used. Checking the feet routinely will alert the older adult to a potential problem but will not maintain skin integrity. Changing socks daily or applying lotion to the feet will aid in maintaining skin integrity.
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