Question

A topical corticosteroid is prescribed for an infant with dermatitis in the The evening nurse reviews the nursing documentation in a client's chart and notes that the day nurse has documented that the client has a stage II pressure ulcer in the sacral area. Which finding would the nurse expect to note on assessment of the client's sacral area?(A) Intact skin(B) Full-thickness skin loss(C) Exposed bone, tendon, or muscle(D) Partial-thickness skin loss of the dermis

Answer 1

Answer: letter d.

Explanation: Stage II ulcer presents partial loss of dermis thickness. It presents a superficial wound, with a pale red (pale) wound bed, with no spurs. It may also have blisters filled with serous exudate and may be intact or ruptured. Therefore the correct answer will be the letter d.