Posted: January 15th, 2018

Pressure ulcer : 5 important points to note

The evening nurse reviews the nursing documentation in the male client’s chart and notes that the day nurse has documented that the client has a stage II pressure ulcer in the sacral area.

\Which of the following would the nurse expect to note on assessment of the client’s sacral area?

A. Intact skin
B. Full-thickness skin loss
C. Exposed bone, tendon, or muscle
D. Partial-thickness skin loss of the dermis