While repositioning an immobile client, a nurse notes that the client's sacral region is warm and red. Further assessment confirms that the skin is intact. Based on these findings, it's most appropriate for the nurse to:

While repositioning an immobile client, a nurse notes that the client's sacral region is warm and red. Further assessment confirms that the skin is intact. Based on these findings, it's most appropriate for the nurse to:



a) do nothing; the client's skin is intact.
b) give the client a donut ring to reduce pressure on the affected area.
c) contact the client's family.
d) document the condition of the client's skin.




Answer: D


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