An LPN in a North Carolina rehabilitation facility cares for a 52-year-old woman with amyotrophic lateral sclerosis who uses a wheelchair. During skin care, the LPN finds a new area of intact, nonblanching redness over the right ischial region. She cannot shift her weight independently. Her mobility plan permits weight bearing for transfers with two trained staff using the prescribed transfer aid; the second staff member is available. She receives the prescribed PEG formula for dysphagia, has no oral intake, tolerates feedings and has maintained her weight; no feeding is currently running. Which action should the LPN take first?
- Leave her seated until the next scheduled repositioning time to preserve the daily routine.
- Offload the affected area using the prescribed transfer assistance and promptly report the skin change to the RN.
- Place a donut-shaped cushion under her and keep her in the same sitting position.
- Independently replace the prescribed PEG formula with a concentrated formula to promote skin healing.