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Question 34 of 60 While giving a patient a bed bath, the nursing assistant notices that the patient's left hip is nonblanchable. This means the patient is at risk for which condition? Select the correct response: Bruising Skin tear Pressure ulcer Hip dislocation

Ask by Ford Chang. in the United States
Feb 02,2025

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The patient is at risk for a **pressure ulcer**.

Solución

A **nonblanchable** area indicates that when pressure is applied to the skin, it does not turn white (blanch), which is a sign of intact skin at risk for further damage. In the context of patient care, particularly when observing areas like the hip that are prone to prolonged pressure, a nonblanchable area is a primary indicator of potential skin breakdown. This condition is most directly associated with the risk of developing a **pressure ulcer** (also known as a bed sore). Pressure ulcers occur due to sustained pressure on the skin, especially over bony prominences like the hips, which can compromise blood flow and lead to tissue damage. **Correct Answer:** Pressure ulcer

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Nonblanchable redness is a major warning sign that a patient might be developing a pressure ulcer, also known as a bedsore. This occurs when there is prolonged pressure on the skin, particularly over bony areas, which can impede blood flow and cause tissue damage. Immediate intervention is crucial in such cases to prevent further complications! In practical terms, it's important for caregivers to frequently reposition patients, assess their skin condition, and employ pressure-relieving devices or therapies. This proactive approach not only helps in maintaining the patient's skin integrity but also keeps them more comfortable during their care routine. Remember, a little vigilance can go a long way in preventing serious complications!

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