A patient has a pressure injury with full-thickness skin loss. Adipose tissue and granulation tissue are visible, but fascia, muscle, tendon, cartilage, and bone are not exposed. How should the injury be classified?
Correct answer: C. Stage 3 pressure injury
- A. Stage 1 pressure injury
- B. Stage 2 pressure injury
- C. Stage 3 pressure injury
- D. Stage 4 pressure injury
Explanation
Stage 3 pressure injury involves full-thickness skin loss with visible adipose and often granulation tissue or undermining, but no exposed deep supporting structures. Stage 2 is partial thickness, while stage 4 exposes or allows direct palpation of fascia, muscle, tendon, cartilage, or bone.
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About Wound Care and Dressings
Wound care covers wound classification, healing stages, assessment of tissue and drainage, pain, infection signs, dressing selection and clean or sterile dressing technique. It also includes pressure injuries by stage and the factors affecting healing, such as nutrition, circulation, diabetes, infection and prolonged pressure.
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