The nurse is assessing a patient's risk for pressure ulcer development. Which factors should the nurse include in this assessment?
Select all that apply.
1. sensory perception
2. moisture
3. mobility
4. nutrition
5. social interaction
Correct Answer: 1, 2, 3, 4
Decreased sensation increases the risk for pressure ulcer development. Decreased activity increases the risk for pressure ulcer development due to prolonged pressure in one area, thereby decreasing the circulation to that area, resulting in decreased oxygen supply. Moisture increases skin breakdown, thereby increasing the risk for pressure ulcer development. Decreased mobility level increases the risk for pressure ulcer development due to prolonged pressure in one area. Nutrition supplementation is an essential intervention for pressure ulcer development. Protein is the building block for collagen synthesis, interstitial fluid balance, granulation, and epithelialization. The patient's social interaction is not a risk level since a chair-bound person may socialize a lot, but not move.
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