Question

While performing a bed bath, the nurse notes an area of tissue injury on the client's sacral area. The wound presents as a shallow open ulcer with a red-pink wound bed and partial thickness loss of dermis. Which of the following is the correct name of this wound?

A) Stage II pressure ulcer
B) Stage I pressure ulcer
C) Stage III pressure ulcer
D) Stage IV pressure ulcer

Answer 1

A Stage II pressure ulcer is the correct name for the described wound, characterized by a shallow open ulcer, red-pink wound bed, and partial thickness loss of dermis. This classification is important for treatment and prevention strategies.

Step-by-step explanation:

The correct name of the wound described in this scenario is Stage II pressure ulcer.

A Stage II pressure ulcer is characterized by a shallow open ulcer with a red-pink wound bed and partial thickness loss of the dermis. It may appear as a blister or abrasion-like wound and it involves the epidermis and/or dermis. It is usually painful and may have a surrounding area of intact skin.

This classification of pressure ulcer is important in healthcare because it helps guide appropriate treatment and prevention strategies to promote healing and prevent further complications.