Final answer:
New areas of skin discoloration on a non-ambulatory patient who had a CVA should be reported to the nurse immediately as it may indicate serious conditions that require urgent medical attention.
Step-by-step explanation:
A CPCT (Certified Patient Care Technician) giving a bed bath to a patient who had a CVA (cerebrovascular accident or stroke) and is non-ambulatory should report new areas of skin discoloration to the nurse immediately. Mild redness on the patient's back might not be urgent if it's a common occurrence due to pressure or positioning. Skin breakdown on the heels, while concerning, often develops over time and may already be a part of the patient's care plan. Complaints of cold hands are not uncommon and may not require immediate attention unless there are other signs of altered circulation. However, new areas of skin discoloration, depending on the context, could indicate a developing pressure ulcer, a hematoma, or other urgent circulatory issues needing prompt assessment and intervention.