An immobile patient has redness over the sacrum that does not become pale when pressed. Which action should the nurse take first?
Correct answer: C. Relieve pressure from the sacrum
- A. Massage the reddened area gently
- B. Apply powder over the reddened area
- C. Relieve pressure from the sacrum
- D. Place a warm towel over the sacrum
Explanation
Non-blanching redness may indicate an early pressure injury, so pressure must be relieved immediately. Massaging or applying heat can further damage already compromised tissue.
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About Hygiene, Comfort and Mobility
Care includes bathing, oral and perineal hygiene, grooming, bed making, positioning, range of motion and safe transfers. Questions connect these procedures with skin integrity, pressure injury prevention, body alignment, privacy and patient comfort, while distinguishing active exercise from passive range of motion and independent from assisted mobility.
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50 free Hygiene, Comfort and Mobility MCQs from Fundamentals of Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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