Difficulty: Medium
Average Score: 67%
Simulated
Passage / Scenario
The patient has an area over the sacrum that is reddened around the edges with a blackened area in the center.The patient has an area over the sacrum that is reddened around the edges with a blackened area in the center. How would you document this wound?
Correct answer
A
Rationale
An unstageable pressure ulcer is documented due to the presence of eschar (blackened area) in the wound bed, indicating full-thickness tissue loss that cannot be staged until the eschar is removed.