Ati health assessment proctored exam 2
A nurse is assessing a client who has a stage 1 pressure injury. Which of the following findings should the nurse expect?
Explanation & Rationale
A. Partial-thickness skin loss with red tissue in wound bed: This is a characteristic of stage 2 pressure injuries, not stage 1. B. Full thickness skin loss with visible adipose tissue: This is a characteristic of stage 3 pressure injuries. C. Full thickness skin loss with visible bone: This is a characteristic of stage 4 pressure injuries. D. Intact skin with localized erythema: This is the characteristic of stage 1 pressure injuries, which present as non-blanching erythema (redness) of intact skin.
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