The nurse is admitting an older patient from a nursing home.During the assessment,the nurse notes a shallow open ulcer without slough on the right heel of the patient.This pressure ulcer would be staged as stage

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This would be a stage II pressure ulcer because it presents as partial-thickness skin loss involving epidermis,dermis,or both.The ulcer is superficial and presents clinically as an abrasion,blister,or shallow crater.Stage I is intact skin with nonblanchable redness over a bony prominence.With a Stage III pressure ulcer,subcutaneous fat may be visible,but bone,tendon,and muscles are not exposed.Stage IV involves full-thickness tissue loss with exposed bone,tendon,or muscle.

The Nurse Is Admitting an Older Patient from a Nursing