Certified Wound Ostomy Nurse (CWON) Practice Test

Which of the following strategies may help in managing shear?

1. Using a water mattress

2. Elevating the patient's head

3. Utilizing lift sheets

4. Reducing patient hydration

The correct answer is: Utilizing lift sheets

Utilizing lift sheets is an effective strategy for managing shear because they help to reduce the friction that occurs between the patient's skin and the surface of the bed or chair during movements. When a patient is repositioned, the skin can adhere to the surface, leading to shear forces that can damage underlying tissues. Lift sheets allow healthcare providers to lift and slide the patient without dragging the skin, thereby minimizing the risk of shear injuries. In contrast, while using a water mattress may help to distribute pressure evenly and provide comfort, it does not specifically address the shear forces that occur with movement. Elevating the patient's head can increase shear by causing gravity to pull the body in different directions, increasing the risk for skin injuries. Reducing patient hydration does not have a positive role in managing shear and can potentially compromise overall skin health, making the skin more susceptible to breakdown. Therefore, utilizing lift sheets is the most appropriate strategy to effectively manage shear forces.