Posted: February 26th, 2018

Chronic cirrhosis who has ascites : Which 5 best nursing interventions are appropriate to prevent skin breakdown?

A client diagnosed with chronic cirrhosis who has ascites and pitting peripheral edema also has hepatic encephalopathy.

Which of the following nursing interventions are appropriate to prevent skin breakdown? (Select all that apply.)

A. Range of motion every 4 hours
B. Turn and reposition every 2 hours
C. Abdominal and foot massages every 2 hours
D. Alternating air pressure mattress
E. Sit in chair for 30 minutes each shift