The nurse is assessing her patient for pressure ulcers. On the patient's right heel, she notices one inch by ½ inch red shallow crater with a small amount of white drainage, surrounded by bright pink skin. She documents this finding as a:

Question

Quizplus · Accepted Answer

The nurse would document the pressure ulcer on the heel as a stage 2 partial thickness pressure ulcer. It involves two layers of the skin- the epidermis and the dermis with a shallow crater that breaks through the first layer of skin.

The Nurse Is Assessing Her Patient for Pressure Ulcers