A nursing assistive personnel (NAP) reports seeing a reddened area on the patient's hip while bathing the patient. Which action should the nurse take?
a. Request a wound nurse consult.
b. Go to the patient's room to assess the patient's skin.
c. Document the finding per the NAP's report.
d. Ask the NAP to apply a dressing over the reddened area.
ANS: B
The nurse needs to assess the patient's skin. Assessment should not be delegated; it is the responsibility of the licensed registered nurse. The nurse needs to document the assessment findings objectively, not subjectively, per the nursing assistive personnel. Before requesting a consult or determining treatment, the nurse needs to assess the skin.
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