Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
50. Positioning to prevent skin breakdown is a nursing concern. Which site is at greatest risk for breakdown in this position?
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
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
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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.