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Question ⬇

Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]

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50. Positioning to prevent skin breakdown is a nursing concern. Which site is at greatest risk for breakdown in this position?
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Choices

Choices ⬆ ⬇

1. A.

2. B.

3. C.

4. D.

Question  Hint

Hints ⬆ ⬇

Test-Taking Tip

Think about what happens when two surfaces rub together.

Content Area: Adult Health, Integumentary; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Alterations in Body Systems

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Rationale ⬆

Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]

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1.  

Right lateral recumbent positioning provides for drainage of oral secretions, which is important with clients who are immobile following a stroke. However, a pillow must be placed between the lower limbs to avoid redness and skin breakdown.

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