Skin Integrity And Pressure Injury Prevention Practice Test

A 70-year-old client is hospitalized with a hip fracture and is on bedrest awaiting surgery. The client is thin (body mass index 18), has urinary incontinence, and needs assistance to turn. Skin assessment shows intact skin with nonblanchable redness on the left trochanter; vital signs: T 36.6°C (97.9°F), HR 84, RR 16, BP 128/72. What is the PRIORITY action for maintaining skin integrity?

A 59-year-old client receiving home care for multiple sclerosis uses a wheelchair and needs assistance with transfers. The client reports decreased sensation in the buttocks and has had two recent episodes of urinary incontinence; nutrition intake is inconsistent. Skin is intact with no open areas; mild redness is noted over the ischial tuberosities after sitting for several hours. Which intervention should the nurse implement to prevent pressure injuries?