A client developed a stage IV pressure ulcer to his sacrum 6 weeks ago, and now the ulcer appears to be a shallow crater involving only partial skin loss. What would the nurse now classify the pressure ulcer as?
a. Stage I pressure ulcer, healing
b. Stage II pressure ulcer, healing
c. Stage III pressure ulcer, healing
d. Stage IV pressure ulcer, healing
D
Reverse staging is not done because, as the ulcer heals with granulation tissue and becomes shallower, the lost muscle, subcutaneous fat, and dermis are not replaced. Pressure ulcers maintain their original staging classification throughout the healing process but are accompanied by the modifier healing.
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