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Foundations of nursing Flashcards | StudBud
Foundations of nursing
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You have a patient who has a unstageable pressure injury, when looking in the wound what will you see?
A
Persistent nonblanchable deep, red, maroon, revealing a dark wound bed
B
Full thickness skin and tissue loss in which the extent cannot be confirmed
C
Full-thickness skin and tissue loss with exposed fascia, muscle and bone
D
Intact skin with a localized area of nonblanchable erythema
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