Certified Nursing Assistant (CNA) Prometric Practice Exam

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Which of the following actions is most effective in decreasing a resident's risk of skin breakdown?

  1. Frequent repositioning

  2. Bathing

  3. Applying lotion regularly

  4. Encouraging fluid intake

The correct answer is: Frequent repositioning

Frequent repositioning is crucial in decreasing a resident's risk of skin breakdown, particularly for those who are immobile or have limited mobility. By shifting the resident’s position at regular intervals, pressure is relieved from areas of the skin that are prone to breakdown, such as the heels, sacrum, and elbows. This action helps maintain blood flow to the skin and underlying tissues, preventing the development of pressure ulcers, also known as bedsores. While bathing, applying lotion, and encouraging fluid intake are important aspects of skin care and overall health, they do not directly address the prevention of pressure points as effectively as repositioning does. Bathing can help maintain skin hygiene but may temporarily increase the risk of skin irritation or dryness if not followed by proper moisturizing. Applying lotion can keep the skin hydrated and can aid in preventing dry skin but doesn't tackle the issue of sustained pressure on the skin. Encouraging fluid intake is essential for overall health and can contribute to skin hydration, but it does not directly relieve pressure on vulnerable areas. Therefore, frequent repositioning stands out as the most effective method for preventing skin breakdown.