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Question
the nurse assesses an older adult client who is confined to bed in their home. while examining the clients buttocks, the nurse observes a shallow open area with partial - thickness skin loss and no visible fat or slough. the area appears moist and red - pink in color. how will the nurse best document the stage of this clients pressure injury? stage ii stage iv stage iii stage i
Stage II pressure injury has partial - thickness skin loss, appears as a shallow open ulcer or blister, moist and red - pink. Other stages have different characteristics.
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A. stage II