The nurse care plan for a patient with AIDS includes the diagnosis of Risk for Impaired Skin Integrity. What nursing intervention should be included in the plan of care?
A) Maximize the patient's fluid intake.
B) Provide total parenteral nutrition (TPN).
C) Keep the patient's bed linens free of wrinkles.
D) Provide the patient with snug clothing at all times.
Ans: C
Feedback:
Skin surfaces are protected from friction and rubbing by keeping bed linens free of wrinkles and avoiding tight or restrictive clothing. Fluid intake should be adequate, and must be monitored, but maximizing fluid intake is not a goal. TPN is a nutritional intervention of last resort.
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