HESI Registered Nurse EXIT Practice Exam

The best care assignment for an elderly client on bed rest with a skin tear is to supervise a nursing assistant for skin care. This option ensures that the client receives appropriate attention to their specific condition while allowing for cost-effective use of nursing resources.

Elderly clients, especially those with skin tears, require gentle and careful handling to prevent further injury and promote healing. By supervising a nursing assistant, the registered nurse can provide guidance and ensure that best practices for skin care are implemented, such as proper cleansing techniques, moisturization, and the use of appropriate dressing materials. This approach strikes a balance between providing oversight and engaging support staff in delivering daily care.

In this scenario, having a nursing assistant involved helps to maintain the client's independence and dignity by encouraging self-care activities, but the nurse’s supervisory role adds an essential layer of safety and expertise, particularly in managing the skin tear effectively.