A client on prolonged bed rest has developed a pressure ulcer. The wound shows no signs of healing even though the client has received skin care and has been turned every 2 hours. Which factor is most likely responsible for the failure to heal?
A. Inadequate vitamin D intake B. Inadequate protein intake C. Inadequate massaging of the affected area D. Low calcium level
Inadequate protein intake-rationale: clients on bed rest suffer from lack of movement and a negative nitrogen balance. therefore, inadequate protein intake impairs wound healing. inadequate vitamin d intake and low calcium levels arent factors in poor healing for this client. a pressure ulcer should never be massaged.client needs category: physiological integrityclient needs subcategory: reduction of risk potentialcognitive level: comprehensionreference: taylor, c., et al. fundamentals of nursing: the art and science of nursing care, 6th ed. philadelphia: lippincott williams & wilkins, 2008, p.1189.