What observation about a pressure ulcer should be reported to the nurse?

Observing the development of a pressure ulcer or any changes in an existing one is critical information that should be reported to the nurse. Pressure ulcers are serious wounds that can lead to infection and other complications if not addressed promptly. Identifying the early signs of a pressure ulcer, such as redness, warmth, or any changes in the skin's integrity, allows for timely interventions that can prevent further deterioration and promote healing.

In contrast, while pain, refusal of treatment, and agitation are important to note and can influence patient care, they do not address a specific clinical condition like a pressure ulcer does. Changes in pressure ulcers are particularly concerning as they indicate a need for immediate reassessment of the patient’s skin care regimen and overall health status. Prompt reporting ensures that the nursing staff can implement the necessary protocols to manage the patient’s risk for further skin breakdown effectively.