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The Nurse Assesses a Patient with a Pressure Ulcer

Question 15

Multiple Choice

The nurse assesses a patient with a pressure ulcer.Which assessment datum does the nurse use to support the identification of a stage III pressure ulcer?


A) Nonblanching and reddened areas of intact skin
B) Extensive destruction of the skin and muscle
C) Full-thickness skin loss from the surface down to the bone
D) Full-thickness skin loss from the surface down to the fascia

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