Asked by Chantal Shanty on May 27, 2024
Verified
The nurse collects the following assessment data: right heel with reddened area that does not blanch. Which nursing diagnosis will the nurse assign to this patient?
A) Imbalanced nutrition: less than body requirements
B) Ineffective peripheral tissue perfusion
C) Risk for infection
D) Acute pain
Non-Blanchable Reddened Area
A skin condition observed in the early stages of pressure ulcer formation, where redness does not turn white (blanch) when pressed.
Nursing Diagnosis
A medical decision regarding the experiences or reactions of an individual, family, or community to real or possible health issues or life events.
Right Heel
The posterior portion of the foot on the right side, situated below the right ankle.
- Evaluate the risk elements associated with the formation of pressure ulcers.
Verified Answer
Learning Objectives
- Evaluate the risk elements associated with the formation of pressure ulcers.
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