The nurse is caring for a patient with a stage III pressure ulcer. Which assessment findings are consistent with this stage of ulcer?
a. A crater-like lesion
b. Skin that does not blanch with fingertip pressure
c. Presence of mottled skin
d. Excoriation around the lesion
A
A stage III pressure ulcer presents as a crater-like ulcer and underlying subcutaneous tissue is involved in the destructive process. Skin that does not blanch with pressure or is mottled are findings consistent with a stage I pressure ulcer. Excoriation around the lesion is consistent with scratching or another abrasive force.
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