The nurse is caring for a patient who is immobile. The nurse is aware that the patient is at risk for Impaired skin integrity because
a. Pressure reduces circulation to affected tissue.
b. Patients with limited caloric intake develop thicker skin.
c. Inadequate blood flow leads to decreased tissue ischemia.
d. Local nerve damage leads to pain sensation.
A
Body parts exposed to pressure have reduced circulation to affected tissue. Patients with limited caloric and protein intake develop thinner, less elastic skin with loss of subcutaneous tissue. Inadequate blood flow causes ischemia and breakdown. Patients with paralysis, circulatory insufficiency, or local nerve damage are unable to sense an injury to the skin.
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