A Patient with Darkly Pigmented Skin Is on Bed Rest

question 21

Multiple Choice

A patient with darkly pigmented skin is on bed rest and is being assessed for a possible stage 1 pressure injury.What datum about the area of concern will best help the nurse determine the correct staging assessment?

• A) The skin will be slightly broken.
• B) The skin color is darker than surrounding tissues.
• C) The tissue is the same temperature as surrounding tissues.
• D) The skin blanches easily.

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Definitions:

Gross Motor Development

The progression of physical abilities in children and infants, including crawling, walking, jumping, and balance, using large muscles.

Roll From Abdomen

The physical movement in which an individual rotates or turns over their body from lying on the stomach to another position.

Sit Erect

The act of sitting with the back straight, as opposed to slouching, to promote better posture and reduce back strain.