The nursing assistant is caring for a client with a pale shiny area on their left heel. What is the appropriate action for the nursing assistant to take?

Question

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The nursing assistant observes skin on the left heel, which is a warning sign of a stage 1 pressure ulcer. The nursing assistant should remove the pressure for 5 minutes without massaging and see if the skin remains the same. The next action is to place pillows under the legs so that the heels are elevated off the bed to relieve pressure. Charting would occur after actions are taken. Skin that is suspected of breakdown should not be massaged because it will further damage the tissue. The skin is not dry, and applying lotion on the bottom of feet may cause a client to fall.

The Nursing Assistant Is Caring for a Client with a Pale