The nurse educator is reviewing with student nurses the causes of skin breakdown. What is the best response by a student nurse of the common cause of skin breakdown that can occur as a result of clothing, bed linens, or client safety devices?
A) Shearing force
B) Immobility
C) Presence of external moisture
D) Sensory loss
A
Feedback:
A common cause of skin breakdown is shearing force caused by clothing, bed linens, or client safety devices. Immobility and low level of activity can occur as a result of lying/sitting in one position for extended periods of time and paralysis. Presence of external moisture can result from perspiration, urine, and feces. Sensory loss is a cause of skin breakdown.
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