Which does the nurse complete before using a support surface or specialty bed?

1. Obtains the specialty bed
2. Massages all pressure points
3. Instructs client about the skin
4. Assesses client pressure ulcer risk


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4. Before arranging for the use of a support surface or specialty bed, the nurse as-sesses the client's skin using a valid risk assessment tool such as the Braden scale because the support surfaces and beds are expensive equipment with a limited supply. Misusing a valuable resource potentially denies a client with an indication for the special equipment and unnecessarily adds to the client's hospital expenses.
1. The nurse assesses the client before obtaining the support surface because the in-surance provider will demand justification for the equipment. If the nurse misuses the support surface without an indication, the hospital receives no reimbursement for its use.
2. Pressure points are usually not massaged because the skin over the bony promi-nence is thinner than areas with soft tissue.
3. The nurse provides information to the client about using a support surface and the client's skin condition because the client has the right to know; however, the nurse does not provide this information until the need is determined from a nursing as-sessment.

Nursing

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