Grafting and Reconstructive Surgery · NCLEX Exam

Which nursing intervention supports successful skin grafting by immobilizing and elevating the graft site?

  1. Encouraging the patient to move the grafted limb vigorously right away
  2. Elevating and immobilizing the graft site to avoid shear under the dressing
  3. Removing all dressings within 12 hours to inspect the graft site early
  4. Keeping the patient lying completely flat in bed for three full days
Show answer and explanation

Correct answer: Elevating and immobilizing the graft site to avoid shear under the dressing

Immobilizing and elevating the graft site prevents shear and fluid accumulation under the graft, enhancing vascularization and “graft take”.

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