Difficulty: Medium
Average Score: 77%
Simulated
A client with ascites and peripheral edema is at risk for impaired skin integrity. To prevent skin breakdown, the nurse should:
Correct answer
C
Rationale
An alternating air pressure mattress (C) prevents pressure ulcers in clients with edema. ROM exercises (A) and elevation (D) are helpful but secondary. Abdominal massage (B) is not indicated.