After finding a reddened area on a bedfast client's hip, what should the PN do next?

After finding a reddened area on a bedfast client's hip, what should the PN do next?

• A. Document the finding in the chart.
• B. Remind the UAP to turn the client every 2 hours.
• C. Apply a protective dressing to the area.
• D. Notify the physician immediately.

Answer: (B)

The most appropriate next step after identifying a reddened area on a bedfast client's hip is to remind the Unlicensed Assistive Personnel (UAP) to turn the client every 2 hours. This action is crucial as turning the client helps to alleviate pressure on the affected area, promotes circulation, and can prevent the development of a pressure ulcer. Early intervention through repositioning is essential in managing skin integrity and preventing further deterioration. While documentation is important for ongoing care, it does not address the immediate need of preventing further pressure on the area. Applying a protective dressing may not be necessary at this stage without further assessment of the skin integrity. Notifying the physician could be appropriate later on if the condition worsens, but the immediate priority should be to minimize pressure and prevent complications by repositioning the client. This proactive step supports better patient outcomes by addressing the root cause of the reddened area.

The most appropriate next step after identifying a reddened area on a bedfast client's hip is to remind the Unlicensed Assistive Personnel (UAP) to turn the client every 2 hours. This action is crucial as turning the client helps to alleviate pressure on the affected area, promotes circulation, and can prevent the development of a pressure ulcer. Early intervention through repositioning is essential in managing skin integrity and preventing further deterioration.

While documentation is important for ongoing care, it does not address the immediate need of preventing further pressure on the area. Applying a protective dressing may not be necessary at this stage without further assessment of the skin integrity. Notifying the physician could be appropriate later on if the condition worsens, but the immediate priority should be to minimize pressure and prevent complications by repositioning the client. This proactive step supports better patient outcomes by addressing the root cause of the reddened area.