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The Nurse Is Preparing to Assess a Client with a Stage

Question 27

Multiple Choice

The nurse is preparing to assess a client with a stage pressure III ulcer. Which findings should the nurse anticipate?


A) Ulcer involving muscle and bone.
B) Ulcer that extends into the subcutaneous tissue.
C) Involvement of the epidermal skin layer that may extend into the dermis.
D) A reddened area with skin intact and no involvement of the tissues

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