CNA Certification (Written Exam)Restorative SkillsMedium
A resident is at high risk for pressure injuries. The CNA is instructed to reposition the resident every two hours. Which action is most crucial for the CNA to implement to prevent skin breakdown during repositioning?
- AApplying a thick layer of petroleum jelly to the resident's skin.
- BLeaving the resident in one position for longer periods if they are comfortable.
- CUsing a lift sheet to move the resident, avoiding dragging.
- DMassaging any reddened areas vigorously to improve circulation.
Show answer & explanationAnswer & explanation
Correct answer: C. Using a lift sheet to move the resident, avoiding dragging.
Using a lift sheet (or draw sheet) when repositioning helps to lift the resident rather than drag them across the bed linens. Dragging can cause shearing forces that damage the skin and lead to pressure injury formation.
Why the other options are wrong
- A. While some moisturizers are used, a thick layer of petroleum jelly isn't a primary method for preventing pressure injuries and could trap moisture, potentially worsening skin integrity.
- B. Leaving a high-risk resident in one position for longer periods directly contradicts the care plan and increases the risk of pressure injuries.
- D. Massaging reddened areas can actually increase tissue damage and is contraindicated for pressure injury prevention.
Preventing Shearing
Shearing occurs when skin stays in place but underlying tissue moves, causing damage. Prevented by lifting, not dragging, during repositioning.
- Major cause of pressure injuries.
- Use draw sheets/lift sheets to lift residents.
- Avoid elevating the head of the bed more than 30 degrees for prolonged periods.
Memory trick: Turn, lift, inspect, and protect.