The nurse notes that the patient's skin is reddened,with a small intact serum-filled blister.How should the nurse classify this stage of ulcer formation?

Question

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A small intact serum-filled blister is a sign of a Stage II pressure ulcer, characterized by partial thickness skin loss involving the epidermis and/or dermis. The skin is not broken but there is damage to the underlying tissues. Stage I pressure ulcers are characterized by intact skin with localized redness, while Stage III and IV ulcers involve full-thickness tissue loss with exposed bone, muscle, or tendon.

The Nurse Notes That the Patient's Skin Is Reddened,with a Small