Difficulty: Medium
Average Score: 90%
Full-length
The nurse is assessing a client who has a sacral pressure ulcer. The wound has partial thickness, loss of dermis and a red-pink wound bed. No slough is present. How would the nurse chart this wound?
Correct answer
B
Rationale
A Stage II pressure ulcer involves partial-thickness loss of dermis with a red-pink wound bed, no slough, matching the description.