All of the following options are true related to bed sore, EXCEPT?

NORCET -4 , 2023

Medical & Surgical Nursing

Easy

Appeared in: NORCET -4 , 2023

Explanation

This statement is factually incorrect, making it the right answer for an 'EXCEPT' question.
Pressure-reducing support surfaces, which include various types of air mattresses, are a cornerstone of pressure injury prevention.
These devices work by redistributing body weight over a larger surface area, which minimizes pressure on bony prominences and maintains blood flow to the tissues.
Clinical guidelines universally recommend the use of these surfaces for patients identified as being at risk for developing pressure injuries.

Option A: This is a true statement. Early-stage pressure injuries, such as Stage 1 (non-blanchable redness) and Stage 2 (partial-thickness skin loss), can often be healed completely with prompt and appropriate interventions like pressure relief and wound care.
Option B: This is a true statement. Due to body mechanics and common patient positions (supine or Fowler's), the sacrum and coccyx are subjected to significant pressure, making them the most common sites for pressure injury development.
Option D: This is a true statement. Repositioning a bed-bound patient at least every two hours is a fundamental, evidence-based nursing intervention to prevent pressure injuries by relieving pressure on vulnerable areas.

Visual 1: Diagram - The Stages of Pressure Injuries. A visual chart showing the progression from Stage 1 to Stage 4, Unstageable, and Deep Tissue Injury helps in understanding the severity and what 'early stage' refers to.
Visual 2: Illustration - Common Pressure Injury Sites. A diagram of the human body highlighting bony prominences most at risk, such as the sacrum, heels, hips, and elbows, reinforces why certain areas are more vulnerable (SRC_3).

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Pressure Ulcer (Bed Sore) Prevention and Management as background academic context rather than a clinical decision trigger.
Pressure injury prevention is a key nursing quality indicator. Failure to prevent pressure injuries can lead to significant patient pain, infection, increased length of hospital stay, and higher healthcare costs.
Nurses must be proficient in using risk assessment tools like the Braden Scale to identify at-risk patients and implement a tailored prevention plan.
Patient and family education on the importance of repositioning, skin care, and nutrition is a critical nursing responsibility, especially in home care and long-term care settings.

How to Approach the Question

First, identify the negative framing of the question by spotting the keyword 'EXCEPT'. This means you are looking for the single false statement among the options.
Read each option carefully and evaluate its factual accuracy based on your knowledge of pressure injury (bed sore) management.
Option A: Is it true that early bed sores are treatable? Yes, Stage 1 and 2 are generally reversible.
Option B: Is the sacrum the most common site? Yes, this is a well-known fact.
Option C: Is it true that air mattresses are ineffective? No, this is false. They are a primary tool for prevention.
Option D: Is 2-hourly turning a standard of care? Yes, it is a fundamental preventive measure.

Concept Tested & Keywords

Concept Tested: Pressure Ulcer (Bed Sore) Prevention and Management
Stem keywords: bed sore, pressure injury, true
Lead-in keywords: EXCEPT
Negative lead-in flag: The question asks for the exception, meaning you must find the FALSE statement among the options.

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