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 I pressure ulcer
b.) Stage II pressure ulcer
c.) Stage III pressure ulcer
d.) Stage IV pressure ulcer

Answer 1

The correct name for the described wound is Stage II pressure ulcer, which is characterized by a shallow open ulcer with partial thickness loss of the dermis.

Step-by-step explanation:

The correct name for the described wound is Stage II pressure ulcer. A Stage II pressure ulcer is characterized by a shallow open ulcer with partial thickness loss of the dermis. The wound bed appears red-pink and may contain a blister or serum-filled cavity. This stage indicates more severe tissue damage compared to Stage I, but does not involve full-thickness loss of the skin or underlying structures.