What is the first sign of a stage 1 pressure ulcer?

What is the first sign of a stage 1 pressure ulcer?

• A. Fever
• B. Discoloration (non-blanchable)
• C. Soreness
• D. Blistering

Answer: (B)

The first sign of a stage 1 pressure ulcer is discoloration that does not blanch when pressure is applied to the skin. This non-blanchable redness indicates that there is damage to the skin while it remains intact, which is characteristic of stage 1 pressure ulcers. At this stage, the skin may appear red or darker than the surrounding area, and the area may feel warmer or cooler compared to other parts of the body. Recognizing this discoloration early is crucial because it serves as a warning sign that pressure needs to be relieved to prevent further injury and progression to more severe ulcer stages. Other symptoms such as fever, soreness, or blistering usually indicate a more advanced stage of skin damage or infection, rather than being the initial indicators of a stage 1 pressure ulcer. Therefore, understanding the significance of non-blanchable discoloration is vital for early intervention and effective prevention strategies in nursing care.

The first sign of a stage 1 pressure ulcer is discoloration that does not blanch when pressure is applied to the skin. This non-blanchable redness indicates that there is damage to the skin while it remains intact, which is characteristic of stage 1 pressure ulcers.

At this stage, the skin may appear red or darker than the surrounding area, and the area may feel warmer or cooler compared to other parts of the body. Recognizing this discoloration early is crucial because it serves as a warning sign that pressure needs to be relieved to prevent further injury and progression to more severe ulcer stages.

Other symptoms such as fever, soreness, or blistering usually indicate a more advanced stage of skin damage or infection, rather than being the initial indicators of a stage 1 pressure ulcer. Therefore, understanding the significance of non-blanchable discoloration is vital for early intervention and effective prevention strategies in nursing care.