NR224 / NR 224 Quiz 2 (Latest 2025) Fundamentals -
Chamberlain
What is a stage 1 Pressure ulcer called? .....ANSWER.....- Non-
blanchable erythema
What are the characteristics of a stage 1 pressure ulcer?
.....ANSWER.....- intact skin
- non-blanchable redness
What are some characteristics of stage 1 pressure ulcers in dark
pigmented skin? .....ANSWER.....- areas of skin my not have
visible blanching
- color may differ from surrounding areas
What is a stage II pressure ulcer called? .....ANSWER.....- partial-
thickness skin loss
What layer of the skin are exposed with stage II pressure ulcers?
.....ANSWER.....- dermis is exposed
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What layer of the skin is lost in a stage II pressure ulcer?
.....ANSWER.....- epidermis
What are some characteristics of a stage II pressure ulcer?
.....ANSWER.....- Shallow wound
- open wound
- wound looks red/ pink
- no slough presented
What other aspects may a stage II pressure ulcer look like?
.....ANSWER.....- intact wound
- ruptured serum-filled blister
What does the wound bed look like with a stage II pressure ulcer
.....ANSWER.....- Resembles a crater
What is a stage III pressure ulcer called? .....ANSWER.....- Full-
thickness skin loss
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What two aspects may be noted as visible in a stage III pressure
ulcer? .....ANSWER.....- Sloughing
- Eschar
What does the wound bed look like in stage III pressure ulcer?
.....ANSWER.....- deep wound bed
What are some characteristics of a stage III pressure ulcer?
.....ANSWER.....- Exposure of the subcutaneous fat
- slough
- eschar
- tunneling
- undermining
What aspects of the wound bed can be noted with a stage III
pressure ulcer? .....ANSWER.....- tunneling may be noted with a
stage III P.U.
- Undermining may be noted w/ a stage III P.U.
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What is a stage IV pressure ulcer called? .....ANSWER.....- full-
thickness and tissue loss
What are some characteristics of a stage IV pressure ulcer?
.....ANSWER.....- exposed tendon or muscle
- exposure of bones
- slough
- eschar
- undermining
- tunneling
What can be noted in stage III and stage IV of pressure ulcers?
.....ANSWER.....All the below can be noted:
- tunneling
- eschar
- undermining