A nurse is assessing a newly admitted client with a pressure ulcer indicated in the picture. What stage pressure ulcer should the nurse document on the admission history and physical?a. Stage Ib. Stage IIc. Stage IIId. Stage IV

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Accepted Answer

B!A stage II pressure ulcer is a partial-thickness ulceration of epidermis or dermis; it presents as an abrasion, blister, or shallow crater, has a red/pink wound bed, has no tissue sloughing, and may have an intact/open serum filled blister. A stage I ulcer has tissue injury with a purple or maroon localized area of intact skin or blood-filled blister; the area may be firm, boggy, warmer, cooler, or painful in comparison with nearby tissue. A stage III pressure ulcer has full-thickness ulceration involving the epidermis, dermis, and subcutaneous tissue; sloughing may be present, it presents as a deep crater with or without undermining, and bone, tendon, or muscle are not exposed. A stage IV pressure ulcer involves full-thickness skin loss and damage to muscle, bone, or tendon; sloughing or eschar may be present on parts of the wound bed, and it often includes undermining and tunneling.

A nurse is assessing a newly admitted client with a pressure ulcer indicated in the picture. What stage pressure ulcer should the nurse document on the admission history and physical?a. Stage Ib. Stage IIc. Stage IIId. Stage IV

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A nurse is assessing a newly admitted client with a pressure ulcer indicated in the picture. What stage pressure ulcer should the nurse document on the admission history and physical?a. Stage Ib. Stage IIc. Stage IIId. Stage IV

❤ If you liked Fatskills, consider supporting us by checking out The Life Manuals You Never Got.

About | Explore | User Guide | Topics | Subjects | Doubt Solver | Career Aptitude Test | Answers | Free Tools | What Should We Know? Privacy | Terms |

Without work one finishes nothing. - Ralph Waldo Emerson© 2026 Fatskills.com

All trademarks, logos and brand names are the property of their respective owners. All company, product and service names used in this website are for identification purposes only. Use of these names, trademarks and brands does not imply endorsement.

About | Explore | User Guide | Topics | Subjects | Doubt Solver | Career Aptitude Test | Answers | Free Tools | What Should We Know?
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Without work one finishes nothing. - Ralph Waldo Emerson
© 2026 Fatskills.com