The nurse is caring for a darkly pigmented patient who is immobile and needs turning every 2 hours.While turning the patient,the nurse who is performing the assessment should pay particular attention to:

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Darkly pigmented skin does not always have visible blanching.Its color differs from that of surrounding skin.Skin temperature changes may be an important early indicator of a stage I pressure ulcer.
Edema is not an initial indication of a pressure ulcer.Do not massage any reddened or discolored pressure points.Areas of nonblanchable erythema or discolored areas may indicate that deeper tissue damage is present.Massage in this area may worsen the inflammation by damaging underlying damaged blood vessels.Pallor or mottling will be difficult or impossible to see in a client with darkly pigmented skin.

The Nurse Is Caring for a Darkly Pigmented Patient Who