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During the Shift Report, a Nurse Is Told That a Patient

Question 20

Multiple Choice

During the shift report, a nurse is told that a patient she will be caring for has a stage II pressure ulcer.What should the nurse expect to visualize during the dressing change?


A) Ulcer that appears black with possible signs of infection
B) Shallow ulcer that appears blistered, cracked, or abraded
C) Craterlike sore with a distinct outer margin formed as the epidermis thickens and rolls over the edge toward the ulcer base
D) Redness of skin with no ulceration

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