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A Nurse Is Completing a Care Plan

Question 15

Multiple Choice

A nurse is completing a care plan. Which intervention is most appropriate for the nursing diagnostic statement Impaired skin integrity related to shearing forces?


A) Administer pain medication every 4 hours as needed.
B) Turn the patient every 2 hours, even hours.
C) Monitor vital signs, especially rhythm.
D) Keep the bed side rails up at all times.

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