A long-term care resident has limited use of the right side of his body, but is coherent at intervals. If this patient develops decubiti, which factor might the facility plead to prevent liability?
1. The resident must be confined to bed for prolonged periods of time because of his condition.
2. The resident is unable to obtain proper nutrition because of his refusal to eat.
3. Understaffing prevents the nurses from performing necessary passive range of motion exercises to the patient's affected side.
4. Nursing notes reveal that the patient is repositioned frequently, but somehow manages to return to the back-lying position.
4
Rationale: The fact that nurses are turning this patient indicates the staff is attempting to prevent the occurrence of decubiti in this patient and could help in the defense of a lawsuit. The factors listed in the incorrect answer choices are circumstances that must be addressed to reduce the incident of decubiti. Not addressing these could be considered substandard care.
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