Question

Question 20 Not yet awered Marked out of 10 Remove flag A nurse assessing a pressure uker on a patient's coccyx is unable to identify the true depth of the ulcer because it is covered with a thick layer of eschar. The nurse should document this pressure ulceras? Select one: O a. a stage IV pressure ulcer b. an unsageable pressure ulcer ca suspected deep tissue injury da stage pressure ulcer Bowel Elimination Now, th Nov. 6th Jumoto Un 2 Pop Q TEORO-MA OB. AT MacBook Air 938 deles E

Answer 1

b, an unstageable pressure ulcer.
Eschar pressure in certain parts of the wound bed. It is called an unstageable pressure ulcer. full-thickness tissue loss of ulcer cover by eschar in the wound bed.
Stage IV pressure ulcer will be deep with experienced muscle, cartilage and tendon, and bone.
Suspected deep tissue injury will be purple with blood. Filled blister due to damage of soft tissue.
Stage 3 pressure ulcer involves fulfilling thickness skin loss extend up to the subcutaneous tissue layer.