The nurse understands that certain patients are more susceptible to pressure ulcer development. Which patients should the nurse identify as being at an increased risk for this health problem?
Select all that apply.
1. patient with restricted activity
2. patient with decreased sensation
3. patient who is very thin
4. patient with urinary and fecal incontinence
5. patient with good nutrition
Correct Answer: 1, 2, 3, 4
Patients who have restricted activity, as would occur with quadriplegia, strokes, and fractured hips, are at risk for pressure ulcer development. Decreased sensation prevents patients from feeling the pain associated with the development of a pressure ulcer, which increases the risk of development and progression. Patients who are very thin or have decreased protein in the diet have skin that is more likely to ulcerate. Patients who have urinary or fecal incontinence or are exposed to other types of moisture such as perspiration, wound drainage, or emesis are more prone to ulcers. Patients with good nutrition are at a decreased risk for pressure ulcer formation.
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