A pressure injury extends through the skin and subcutaneous tissue, and its base contains exposed muscle and tendon. Which stage is most appropriate?
Correct answer: D. Stage 4
- A. Stage 1
- B. Stage 2
- C. Stage 3
- D. Stage 4
Explanation
Stage 4 pressure injury involves full-thickness skin and tissue loss with exposed or directly palpable fascia, muscle, tendon, cartilage, or bone. Stage 3 does not expose these deeper structures, and stages 1 and 2 do not involve full-thickness tissue loss.
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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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