Which stage pressure ulcer would require the nurse to measure the - ProProfs Discuss
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Which stage pressure ulcer would require the nurse to measure the extent of undermining?

Asked by Arnoldjr, Last updated: Apr 01, 2021

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John Smith

John Smith

John Smith
John Smith

Answered Feb 03, 2017

Stage III

(a) There is no Stage 0 in the classification system for staging pressure ulcers. (b) The skin is still intact and there is no undermining in a Stage I pressure ulcer. (c) Tissue damage is superficial and there is no undermining in a Stage II pressure ulcer. (d) IN a Stage III pressure ulcer there is full thickness skin loss involving damage to subcutaneous tissue that may not be undermining, which is tissue destruction underneath intact skin along wound margins.
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