Problem: The nurse is caring for a client who is at risk of developing pressure ulcers. Which of the following would the nurse recognize as accurate statements regarding pressure ulcers? Need Assignment Help?
Select all that apply. In a stage II pressure ulcer, part of the dermis and epidermis are lost. In a stage I pressure ulcer, there is a loss of integrity of the epidermis only. In a stage III pressure ulcer, there is a deep tissue injury that can expose fat. In a stage IV pressure ulcer, the base of the wound is covered by eschar. Stage III involves extensive tissue damage and can lead to bone and muscle involvement.