A nurse is assessing a client with a stage IV pressure ulcer. What assessment of the ulcer would be expected?

Question

Quizplus · Accepted Answer

A stage IV pressure ulcer involves full-thickness skin loss, extending through the subcutaneous tissue and possibly into underlying muscle and bone. Skin pallor or blister formation may be present in earlier stages of pressure ulcers, but at stage IV, eschar formation (black or brown dead tissue) may also be present.

A Nurse Is Assessing a Client with a Stage IV