The nurse is caring for an unconscious child. Skin care should include:
a. Avoiding use of pressure reduction on the bed.
b. Massaging reddened bony prominences to prevent deep tissue damage.
c. Using draw sheet to move child in bed to reduce friction and shearing injuries.
d. Avoiding rinsing skin after cleansing with mild antibacterial soap to provide a protective barrier.
ANS: C
A draw sheet should be used to move the child in the bed or onto a gurney to reduce friction and shearing injuries. Do not drag the child from under the arms. Bony prominences should not be massaged if reddened. Deep tissue damage can occur. Pressure-reduction devices should be used to redistribute weight instead. The skin should be cleansed with mild nonalkaline soap or soap-free cleaning agents for routine bathing.
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