When caring for an elderly client with a reddened area on the coccyx, what is the nurse's first action?

The first action a nurse should take when caring for an elderly client with a reddened area on the coccyx is to reposition the client every 1-2 hours. This action is crucial because pressure ulcers, or bedsores, can develop due to prolonged pressure on a specific area of the skin, particularly in individuals with limited mobility. Repositioning helps to relieve pressure, improve blood circulation, and promote healing of any existing superficial skin issues.

While assessing the thickness of the skin is also important in evaluating the severity of any potential skin breakdown, it should follow immediate interventions to mitigate further injury. Documenting the observation is essential for ongoing patient records but does not address the immediate need to prevent worsening of the condition. Applying a topical ointment may be beneficial depending on the severity of the reddened area but should not be the first step; addressing the pressure itself takes precedence in preventing further skin damage.