Which action by the nurse will be the most important for preventing skin impairment in a mobile patient with local nerve damage?
a. Insert an indwelling urinary catheter.
b. Limit caloric and protein intake.
c. Turn the patient every 2 hours.
d. Assess for pain during a bath.
ANS: D
During a bath, assess the status of sensory nerve function by checking for touch, pain, heat, cold, and pressure. When restricted from moving freely, dependent body parts are exposed to pressure that reduces circulation. However, this patient is mobile and therefore is able to change positions. Limiting caloric and protein intake may result in impaired or delayed wound healing. A mobile patient can use bathroom facilities or a urinal and does not need a urinary catheter.
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