All options are correct. In addition to measuring the length of time the redness lasts the nurse should perform skin integrity assessment.
Use your fingertips to gently press the area. Applying light pressure to check for blanching using the fingertips. This response generally occurs in people with light skin, indicating that there is no tissue perfusion. Impairment. You should gauge the size of the redness. The area of redness should be examined in order to establish whether healing is proceeding or not. Obtain the wound's culture. Since the skin is intact and there is no drainage, there is no need to create a wound.
Learn more about skin integrity assessment
https://brainly.com/question/17319820?
#SPJ4
