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Skin integrity HESI

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Skin integrity HESI In addition to measuring the length of time the redness lasts, which assessment measure(s) should the nurse perform? - ANSWER-Apply light pressure to the area with the fingertips. Measure the diameter of the redness. The sacral area has remained red for 2 hours and does not blanch when tested. Which is the best description for the nurse to document? - ANSWER-Reactive hyperemia. Which areas are most important for the nurse to observe for additional pressure ulcers? - ANSWER-Heels and ankles. What action should the nurse implement? - ANSWER-Identify these areas as sites where pressure damage has occurred. Which etiology identified by the nurse

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Skin integrity HESI
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Skin integrity HESI

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