A client with limited mobility has nonblanchable redness ove… | MyMerci
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Mobility/ImmobilityBCC
Question
A client with limited mobility has nonblanchable redness over the sacrum. Which intervention is most appropriate?
1Reposition the client regularly and use pressure-reducing support surfaces.✓ Correct answer
2Massage the area gently with moisturizer each shift to stimulate circulation.
3Place the client in a side-lying position on the sacrum to reduce hip pressure.
4Apply a transparent adhesive dressing tightly over the area to protect the skin.
Explanation
Nonblanchable redness suggests early pressure injury. Pressure should be relieved through repositioning, support surfaces, moisture control, nutrition support, and skin inspection. Massaging reddened tissue or applying tight tape can worsen injury.