Oregon Certified Nursing Assistant State Practice Exam

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Which of the following statements is true of positioning?

  1. Residents will not need help getting into comfortable positions or changing positions

  2. Constant pressure on an area helps prevent skin problems

  3. NAs should check resident's skin each time they are repositioned

  4. Bed-bound residents should be repositioned every three hours

The correct answer is: NAs should check resident's skin each time they are repositioned

The statement that NAs should check a resident's skin each time they are repositioned reflects an important aspect of patient care and safety. Frequent assessment of the skin is crucial, especially for individuals who may be at risk of developing pressure ulcers due to immobility. Repositioning can relieve pressure on certain areas of the body, but it also provides an opportunity to inspect the skin for any signs of irritation, redness, or breakdown. Early detection of potential skin issues allows for timely intervention, which can prevent more serious complications. In contrast, the other statements do not align with best practices in nursing care. For instance, it is essential for residents to receive assistance with positioning, as many may have limitations that prevent them from adjusting their positions independently. Additionally, constant pressure on any area of the skin is known to contribute to the development of pressure ulcers rather than prevent them. Furthermore, while it is beneficial to reposition bed-bound residents, the recommendation is typically to do so every two hours rather than three, to ensure adequate relief from pressure and reduce the risk of skin damage.