Asked by Alexus Seigler on May 24, 2024
Verified
A patient has been admitted to a hospital after the staff in the nursing home noticed a pressure ulcer in his sacral area. The nurse examines the pressure ulcer and determines that it is a stage II ulcer. Which of these findings are characteristic of a stage II pressure ulcer? (Select all that apply.)
A) Intact skin appears red but is not broken.
B) Patches of eschar cover parts of the wound.
C) Ulcer extends into the subcutaneous tissue.
D) Open blister areas have a red-pink wound bed.
E) Localized redness in light skin will blanch with fingertip pressure.
F) Partial thickness skin erosion is observed with a loss of epidermis or dermis.
Pressure Ulcer
Localized damage to the skin and/or underlying tissue, usually over a bony prominence, as a result of pressure or pressure in combination with shear.
Eschar
A dry, dark scab or falling away of dead skin, typically resulting from a burn or wound.
Subcutaneous Tissue
The layer of tissue lying just below the dermis of the skin, containing fat and connective tissues that insulate and protect the body.
- Recognize the stages and characteristics of pressure ulcers.
Verified Answer
Learning Objectives
- Recognize the stages and characteristics of pressure ulcers.
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