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