CNA Certification (Written Exam)Activities of Daily LivingEasy
A CNA is assisting a resident with a bed bath. The resident has a reddened area on their sacrum. What is the MOST appropriate action for the CNA to take?
- ACover the area with a bandage to prevent further irritation.
- BApply a thick layer of lotion to the area and continue the bath.
- CReport the reddened area to the nurse immediately.
- DRub the reddened area vigorously to improve circulation.
Show answer & explanationAnswer & explanation
Correct answer: C. Report the reddened area to the nurse immediately.
Reddened areas on the skin, especially over bony prominences, can be an early sign of skin breakdown or pressure ulcers. It is crucial for the CNA to report this observation to the nurse promptly for further assessment and intervention.
Why the other options are wrong
- A. Covering the area without assessment or intervention by the nurse is inappropriate and can delay necessary care for potential skin breakdown.
- B. Applying lotion without nurse assessment is not sufficient and could mask underlying issues; vigorous rubbing is also harmful.
- D. Vigorous rubbing can damage fragile skin and worsen the reddened area, potentially leading to skin breakdown.
Skin Observation & Reporting
CNAs must carefully observe a resident's skin for any changes, especially redness, open areas, or signs of breakdown, and report these findings to the nurse immediately.
- Early detection of skin changes is crucial for preventing pressure injuries.
- Redness over bony prominences can indicate pressure.
- CNAs are responsible for observation and reporting, not diagnosis or treatment.
Memory trick: See a Red Spot, Report it Hot!