A nurse assesses a 78-year-old pt who is 108.9 kg (240 lbs) and partially immobilized b/c of a stroke. The nurse turns the pt and finds the skin over the sacrum is very red and the pt does not feel sensation in the area. The pt has had fecal incontinence on and off for the last 2 days. The nurse identifies the nursing diagnosis of Risk for Impaired Skin Integrity. Which of the following outcomes is appropriate for the pt?
1) Pt will be turned every 2 hrs within 24 hrs.
2) Pt will have normal bowel function w/i 72 hrs
3) Pt's skin integrity will remain intact thru discharge.
4) Erythema of skin will be mild to none w/i 48 hrs