Difficulty: Medium
Average Score: 72%
Simulated
A nurse is caring for a client that is immobile. The nurse recognizes that the appearance of non-blanchable erythema on the heels most likely indicates which of the following stages of pressure injuries?
Correct answer
D
Rationale
Stage I pressure injuries present as non-blanchable erythema on intact skin, indicating early tissue damage without skin loss, typically over bony prominences like the heels.