The nurse is caring for a child with a spinal cord injury and providing instructions on promoting skin integrity. Which of the following responses from the mother indicates a need for further teaching?
A) "I need to monitor his skin at least twice a week."
B) "I must monitor the skin areas affected by his adaptive equipment."
C) "He must change positions frequently."
D) "We must avoid harsh cleaning products."
A
Response:
The nurse needs to emphasize to the mother that she must monitor the condition of the entire skin surface several times daily to provide a baseline and allow for early identification of areas at risk. The other statements are correct.
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