Difficulty: Medium
Average Score: 90%
Simulated
A patient has suffered a left CVA and has developed severe hemiparesis resulting in a loss of mobility. The nurse notices on assessment that an area over the patient's left elbow appears as non-blanchable erythema and the skin is intact. The nurse should score the patient as having which of the following?
Correct answer
A
Rationale
Erythema with the skin intact can indicate a Stage I pressure ulcer.