NCLEX-PN Practice Q 143

By | March 1, 2022

A nurse has an African American patient who is bedridden for 3 months due to Guillain barre syndrome. During a routine assessment, which characteristic of pressure ulcer will the nurse first identify?
  
     A. Skin feels soft and cold
     B. Skin looks shiny or bluish in color
     C. Skin looks Reddish in color
     D. Skin returns to normal color after pressing it for 10 minutes
    
    

Correct Answer: B. Skin looks shiny or bluish in color

Option B: People with darker skin will have patches of bluish to purplish a skin and will look shiny.

Option A: Skin may feel hard and warm to touch instead.
Option C: Usually Caucasian with bedsore will have patches of red skin.
Option D: The skin color does not return to normal after pressing the area for 10-30 minutes.

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