Question

the nurse assesses an older adult client who is confined to bed in their home. while examining the clients buttocks, the nurse observes a shallow open area with partial - thickness skin loss and no visible fat or slough. the area appears moist and red - pink in color. how will the nurse best document the stage of this clients pressure injury? stage iv stage i stage iii stage ii

Explanation:

Stage II pressure injury has partial - thickness skin loss. It presents as a shallow open ulcer, moist, and red - pink. The description matches this stage.

Answer:

D. stage II