The nurse is caring for four patients at risk for impaired skin integrity. Which patient requires the most frequent assessment and possible intervention?
a. A malnourished, homeless patient with a nasogastric tube who is bedridden
b. A college football player with bilateral long leg casts after a motorcycle accident
c. An elderly female ambulating after hip replacement surgery
d. A school-age child recovering from a ton-sillectomy and adenoidectomy
A
The homeless patient has four major factors that can contribute to skin breakdown: poor nutrition, being homeless, being bedridden, and having a nasogastric tube. The edges of the casts on the football player need to be watched for irritation, but he is at low risk for skin breakdown because of his youth, nutritional status, and activity level. The elderly female after hip replacement sur-gery would be at risk for skin breakdown at the site of the surgery. Her age would also be a fac-tor because of the decrease of tissue under the skin. The school-age child has no risk factors for skin breakdown.
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