easy · NCLEX-RN basic-care
The nurse finds nonblanchable redness over a client’s heel.
In this pressure injury prevention case, what is the best immediate action?
- Offload the heel, then assess and document it
- Continue direct heel pressure and reassess the finding next week
- Rub the reddened heel firmly until the skin becomes pale
- Cover the skin finding without assessing or documenting it
Sign up free to see the explanation and track your rank →
More NCLEX-RN basic-care practice
- Which action is the priority to include in the plan of care?
- A nurse is assessing a client for urinary retention. Which finding would provide the most
- Which finding most likely indicates that the client is successfully compensating for the f
- Which task can the nurse safely delegate to an LPN/VN?
- Which laboratory finding would the nurse most likely anticipate as a consequence of this e
- Which statement by the client indicates a correct understanding of the instructions?
- What should the nurse perform next?
- A client has a Braden score of 14, albumin of 2.5 g/dL, and is incontinent of urine. Which