Question

When repositioning an immobile client, the student nurse notices redness over a bony prominence. When the area is further assessed, it does not blanch indicating:

A) Ischemia
B) Pressure ulcer (bedsore)
C) Allergic reaction
D) Normal skin response

Answer 1

Non-blanchable redness over a bony prominence in an immobile patient is indicative of a pressure ulcer (bedsore), which is caused by prolonged pressure leading to reduced blood flow and tissue necrosis.

Step-by-step explanation:

When a student nurse observes redness over a bony prominence that does not blanch upon further assessment, this is indicative of a pressure ulcer (bedsore). This condition is caused by long-term, unrelieved pressure on certain parts of the body, which leads to reduced blood flow and necrosis of the tissue. It is critical to reposition immobile clients regularly to prevent the development of bedsores. The correct answer is B) Pressure ulcer (bedsore).