Question

A nurse is completing an admission assessment of an older adult client and notes a stage 2 pressure ulcer on the client's lumbosacral area. Which of the following findings should the nurse identify as a stage 2 pressure ulcer?

1) A defined area of reddened but intact skin
2) A shallow crater involving the epidermis
3) Reddened area that does not blanch
4) Leakage of cloudy fluid from abraded skin

Answer 1

A stage 2 pressure ulcer is characterized by a shallow crater involving the epidermis.

Step-by-step explanation:

A stage 2 pressure ulcer is characterized by a shallow crater involving the epidermis. This means that there is partial thickness loss of the skin, and the wound is superficial, only extending into the epidermal layer of the skin. It may appear as an abrasion, blister, or shallow ulcer.