The nurse is aware that pressure ulcers can occur: (Select all that apply.)
a. from any position that causes soft tissue compression.
b. because of lack of blood flow (ischemia).
c. only in bedbound patients.
d. in as little as 90 minutes.
A, B, D
Pressure ulcers occur from any position that causes soft tissue compression. Compression of soft tissue interferes with blood flow to the tissue; if this compression continues for a prolonged time, the tissue dies from lack of blood flow, also known as ischemia. This pressure, if not relieved, can cause irreversible tissue damage in as little as 90 minutes. It is quite possible for an individual to develop a pressure ulcer even if not confined to bed.
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