Which of the following indicates a potential skin integrity issue?

• A. Redness that persists, warmth, or pain that doesn’t improve
• B. Normal skin tone with no discomfort
• C. Skin that remains dry and intact
• D. No changes in sensation

Answer: (A)

Persistent redness that lasts along with warmth or pain signals a possible skin integrity issue. Redness can mean tissue irritation or early breakdown, and warmth or increasing pain suggests inflammation or infection developing in the skin. These are red flags that should prompt careful assessment and prompt action, such as turning or repositioning to relieve pressure, keeping the skin clean and dry, inspecting the area for changes, and reporting the finding to a supervisor or caregiver for further evaluation.

Healthy skin typically presents with normal tone and no discomfort, dry and intact skin, or no changes in sensation. These patterns do not indicate current skin integrity problems.