Question

A nurse in a long-term care facility is planning care for four clients. Which of the following clients is at greatest risk for developing a pressure ulcer? O A client who is incontinent of urine one to two times during the day O A client who requires assistance to transfer from a bed to chair O A client who is receiving enteral tube feedings O A client who is unresponsive to painful stimuli

Answer 1

ANSWER.

* A client who is unresponsive to painful stimuli is at greatest

     risk for developing pressure ulcers.

   * Due to lack of sensory perception patient fail to observe changes

     in the skin integrity which increases the chances of developing

     pressure ulcer.