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?

This question is part of NClex Style Critical Thinking Questions on Mobility
Asked by Arnoldjr, Last updated: Nov 22, 2020

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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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