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The Nurse Is Caring for a Patient Who Has a Stage

Question 1

Multiple Choice

The nurse is caring for a patient who has a stage 4 pressure ulcer that is 2 cm in diameter and 2 cm deep. Bone is visible in the wound. Which patient assessment finding should be communicated to the RN immediately?


A) Yellow wound drainage
B) A reddened area adjacent to the ulcer
C) Patient report of pain
D) Pink grainy appearance at wound edges

Correct Answer:

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