Ivy Tech CNA Program Exam 1 Practice

If you notice redness on a resident's skin that does not blanch when pressed, what is the appropriate action?

Ignore it. Document and monitor; report to nurse per policy. Relieve pressure, monitor, and notify the nurse per policy. Apply ointment and continue care.

Correct Answer:

Relieve pressure, monitor, and notify the nurse per policy.

Explanation:

Non-blanchable redness means the skin has been damaged by pressure and may be starting a pressure injury. The best action is to relieve pressure on that spot right away, keep an eye on it for changes, and report to the nurse per facility policy so the care plan can be adjusted. Simply documenting and monitoring without addressing the pressure doesn’t stop the injury from progressing, and applying ointment or ignoring it could mask or worsen the problem. Reposition the resident, use a pressure-relieving surface, and notify the nurse as directed to prevent further tissue damage.

Access more questions from this quiz

Continue to Ivy Tech CNA Program Exam 1 Practice for more practice questions and the full quiz experience.

Access More Questions