Question

While providing a back massage, the nurse observes a reddened area on the client's sacral area. Which action by the nurse is appropriate?

A. Massage the area using lotion.
B. Document the finding.
C. Stop the back massage immediately.
D. Apply a warm compress to the area.

Answer 1

The nurse should document the finding and assess the client further.

Step-by-step explanation:

The appropriate action for the nurse to take is to document the finding. A reddened area on the client's sacral area can indicate a potential pressure ulcer or skin breakdown. Massage and applying lotion may aggravate the condition and should be avoided. Applying a warm compress without a proper assessment can also be harmful. The nurse should document the finding, assess the client further, and notify the healthcare team for appropriate intervention.