Practice Quiz

CNOR Operating Room Nursing

Category - Intraoperative

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The nurse observes that the patient has developed a small pressure ulcer on the back of their right arm. It appears as a blister that seems to include the superficial layers of skin. What stage of pressure ulcer would this wound be classified as?
  1. Stage I
  2. Stage II
  3. Stage III
  4. Stage IV
Explanation
Answer: B-This type of wound would be classified as a stage II pressure ulcer, according to the National Pressure Ulcer Advisory Panel. A stage II pressure ulcer may appear as an abrasion or a blister and typically involves the layers of the epidermis and/or dermis. It is considered a superficial wound that does not involve surrounding tissue, unlike stages III or IV.
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