Which of the following actions involves the greatest risk of skin shearing?

A) Inserting a peripheral intravenous catheter
B) Rolling the client from a supine to side-lying position
C) Pulling the client up in bed
D) Helping the client ambulate after surgery


Ans: C
Feedback:
Shear occurs when the skeleton moves, but the skin remains fixed to an external surface, such as occurs with transfer from a stretcher to a bed or pulling a person up in bed. Rolling a client, starting an IV catheter, or assisting with mobilization does not pose a risk of skin shearing.

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