Difficulty: Medium
Average Score: 92%
Simulated
Which of the following interventions by the newly hired nurse requires follow-up? Select all that apply.
Correct answer
B, C
Rationale
Donut pillows can increase pressure on surrounding tissues, worsening ulcer risk. Maintaining the head of the bed at 90 degrees increases shearing forces, promoting ulcer development. Zinc oxide, high-protein diets (not just carbohydrates), and floating heels are appropriate interventions.