ATI PN Custom Fundamentals CH 38 Liz
ATI PN Custom Fundamentals CH 38 Liz ( 53 Questions)
Which of the following findings should the nurse expect?
Full thickness skin loss with visible adipose tissue is characteristic of a stage 3 pressure injury, not stage 1.
Full thickness skin loss with visible bone is characteristic of a stage 4 pressure injury, not stage 1.
Stage 1 pressure injuries are characterized by intact skin with localized erythema.
Partial-thickness skin loss with red tissue in the wound bed is characteristic of a stage 2 pressure injury, not stage 1.
Choice A rationale:
Full thickness skin loss with visible adipose tissue is characteristic of a stage 3 pressure injury, not stage 1.
Choice B rationale:
Full thickness skin loss with visible bone is characteristic of a stage 4 pressure injury, not stage 1.
Choice C rationale:
Stage 1 pressure injuries are characterized by intact skin with localized erythema.
Choice D rationale:
Partial-thickness skin loss with red tissue in the wound bed is characteristic of a stage 2 pressure injury, not stage 1.