Difficulty: Medium
Average Score: 91%
Simulated
The nurse notes a break in the skin, which appears blister-like, it looks superficial with loss up to the dermis layer. The nurse would interpret this finding as indicating which stage of pressure ulcer.
Correct answer
D
Rationale
Stage II pressure ulcers are characterized by partial-thickness skin loss involving the epidermis and/or dermis, presenting as shallow open ulcers or blisters.