What should a nurse do upon observing ecchymosis in various stages of healing on a 75-year-old client?

Inquiring how the bruises occurred is a crucial step in the nursing process when observing ecchymosis, especially in an older adult. This approach allows the nurse to gather vital information about the patient's condition, which can lead to a better understanding of potential causes. Ecchymosis in multiple stages of healing can suggest various underlying factors, including trauma, coagulopathy, or risks related to falls—common concerns in elderly patients.

By asking about the circumstances surrounding the bruises, the nurse can assess for any potential risk factors or incidents that may require further investigation or intervention. Understanding the cause can aid in planning appropriate care and determining if additional evaluations or referrals are necessary to ensure the patient's safety and well-being.

Documentation, notifying supervisors or healthcare providers, while important, doesn’t directly engage with the immediate need to assess the situation at hand. Gathering contextual information enhances the holistic approach to patient management, ensuring that all aspects of the client's health are considered and addressed promptly.