A nurse is assessing an elderly patient's skin for intactness. When checking the patient's sacrum, she notices an ulcerated area that extends into the subcutaneous tissue and is draining. This skin alteration would be documented as which pressure ulcer st
A) I
B) II
C) III
D) IV
Ans: C
Feedback: Stage III is an ulcer that extends into the subcutaneous tissue. With this type of ulcer, necrosis of tissue and infection may develop. Stage I is an area of erythema that does not blanch with pressure. Stage II involves a break in the skin that may drain. Stage IV is an ulcer that extends to underlying muscle and bone.
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