Which of the following is NOT a sign of a developing pressure ulcer that should be reported?

• A. Redness that blanches with pressure, warmth or swelling, skin breakdown, or open sores.
• B. Dry, intact skin without redness.
• C. Open sore with drainage.
• D. Warmth and swelling around an area.

Answer: (B)

When assessing for a developing pressure ulcer, look for signs of tissue damage around pressure areas. Redness, warmth, swelling, skin breakdown, or an open sore with drainage signal that the skin is being affected and needs assessment and action. Dry, intact skin with no redness shows no active tissue damage and is not a signal that a pressure ulcer is developing, so it isn’t something to report as a developing ulcer.