Author Question: An initial indication of potential pressure ulcer development for the client with darkly pigmented ... (Read 55 times)

karlynnae · **on:** Jul 24, 2018

An initial indication of potential pressure ulcer development for the client with darkly pigmented skin is:

A. Edema
B. Skin irritation
C. An increase in skin temperature
D. Pallor or mottling of the skin

Question 2

A patient has been found with no pulse or respirations. The cardiopulmonary arrest team has been called. What should the nurse do while awaiting the team's arrival?

a. Gather the patient's medical record and medication administration record.
b. Obtain the crash cart.
c. Notify the patient's primary care provider.
d. Perform CPR.

cswans24 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

C
C. An initial indication of a pressure ulcer can be an increase in skin temperature when compared to the surrounding skin.
A. Edema is not an initial indication of a pressure ulcer.
B. Skin irritation is an initial indication of a pressure ulcer.
D. Pallor or mottling will be difficult or impossible to see in a client with darkly pigmented skin.

Answer to Question 2

D
The nurse's responsibility while awaiting the arrest team is to perform CPR, with or without assistance as available. Other team members can collect the patient's records, obtain the crash cart, and notify the primary care provider. The nurse assigned to the patient should stay with the patient to provide the history when the team arrives.