A nurse is assessing a client who has a stage 2 pressure injury. Which of the following findings should the nurse expect?

Rationale: A. This describes a stage 4 pressure injury, the most severe stage, where full-thickness tissue loss exposes muscle, tendon, or bone. Stage 2 injuries are less severe and do not involve bone exposure. B. This is characteristic of a stage 2 pressure injury. Stage 2 injuries involve partial-thickness loss of the dermis, presenting as a shallow open ulcer with a red-pink wound bed, without slough. It may also present as an intact or open/ruptured serum-filled blister. The key features are partial-thickness loss and visible red or pink tissue. C. This corresponds to a stage 3 pressure injury, where full-thickness skin loss exposes subcutaneous fat but not bone, tendon, or muscle. Stage 2 injuries do not extend to the subcutaneous tissue. D. This describes a stage 1 pressure injury, which is characterized by non-blanchable redness of intact skin. There is no open ulcer or tissue loss at this stage.