Asked by Riley Resnick on May 22, 2024

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The wound care nurse visits a patient in the long-term care unit. The nurse is monitoring a patient with a Stage III pressure ulcer. The wound seems to be healing, and healthy tissue is observed. How should the nurse document this ulcer in the patient's medical record?

A) Stage I pressure ulcer
B) Healing Stage II pressure ulcer
C) Healing Stage III pressure ulcer
D) Stage III pressure ulcer

Healing Stage III Pressure Ulcer

Refers to the process of repairing deeper tissue damage, typically involving full-thickness skin loss that may expose fat or muscle.

Medical Record

A comprehensive document containing a patient's health history and medical treatments.

Healthy Tissue

cells or structures of the body that are functioning normally without disease, injury, or abnormality.

  • Organize nursing interventions according to the severity of pressure ulcers in patients.
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RR
rahul reddyMay 26, 2024
Final Answer :
C
Explanation :
When a pressure ulcer has been staged and is beginning to heal, the ulcer keeps the same stage and is labeled with the words "healing stage" or healing Stage III pressure ulcer. Once an ulcer has been staged, the stage endures even as the ulcer heals. This ulcer was labeled a Stage III, and it cannot return to a previous stage such as Stage I or II. This ulcer is healing, so it is no longer labeled a Stage III.