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when assessing a client who is incontinent for risk for developing a pressure ulcer, the nurse should note which factor that can most alter tissue tolerance and lead to the development of a pressure ulcer?

Answer :

Exposure to moisture can most alter tissue tolerance and lead to the development of a pressure ulcer.

Pressure ulcers (also known as pressure sores or bedsores) are skin and underlying tissue injuries caused primarily by prolonged pressure on the skin. They can affect anyone, but are most common in people who are confined to bed or who sit in a chair or wheelchair for long periods of time.

Pressure ulcers are caused by applying sustained pressure to a specific part of the body. This pressure cuts off the blood supply to the affected skin area. Blood contains oxygen as well as other nutrients that are required to keep tissue healthy. Offloading the offending pressure source, adequate drainage of any areas of infection, debridement of devitalized tissue, and regular wound care to support the healing process are the mainstays of pressure ulcer treatment.

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