Question

A nurse is caring for a client who has a stage IV pressure ulcer, what is a characteristic of this type of ulcer?

a) Superficial redness
b) Partial skin loss involving epidermis and dermis
c) Full-thickness tissue loss with exposed bone, tendon, or muscle
d) Discoloration of intact skin

Answer 1

A stage IV pressure ulcer is characterized by full-thickness tissue loss with exposed bone, tendon, or muscle, requiring prompt and comprehensive treatment to prevent serious infections and complications.

Step-by-step explanation:

The characteristic of a stage IV pressure ulcer is full-thickness tissue loss with exposed bone, tendon, or muscle. This type of ulcer represents a severe wound indicating that not just the superficial skin layers have been affected, but also the deeper tissues. As such, a stage IV pressure ulcer takes into account extensive damage that is not limited to the epidermis and dermis but also involves even more deep-seated structures like bone and muscle. It's essential for such ulcers to be treated promptly to avoid fatal complications, such as infections that can lead to conditions like sepsis. Healthcare professionals focus on strategies to prevent pressure ulcers in high-risk individuals through regular repositioning and utilization of supportive devices to reduce pressure.