After Completing a Scheduled Every-2-Hour Turn by Turning the Client

question 9

Multiple Choice

After completing a scheduled every-2-hour turn by turning the client to the left side,the nurse notices a reddened area over the coccyx.The area blanches when the nurse compresses it with thumb pressure.One hour later,the nurse reassesses the area and finds the redness has disappeared.How should the nurse document this area?

• A)Reactive hyperemia
• B)Stage I pressure ulcer
• C)Stage II pressure ulcer
• D)Stage III pressure ulcer

---

Definitions:

Immunizations

The process by which an individual's immune system becomes fortified against an agent (known as the immunogen), typically involving the administration of a vaccine.

Health Education

The profession of educating people about health, including topics like disease prevention, physical wellness, and health safety practices.

Primary Prevention

Strategies or actions taken to prevent disease or injury before it ever occurs, focusing on preventing the risk factors themselves.

Clinic Focus

The primary area of healthcare or service specialization offered by a clinic.