QuestionJune 3, 2025

Which characteristic of the skin and surrounding tissues of the sacral area help the nurse to classify a wound as a stage 1 pressure injury? Select all that apply. One, some, or all responses may be correct. Cyanotic skin changes are present. The skin is warm and edematous. The area is cooler than the adjacent tissue. There is generalized blanchable erythema. Localized, nonblanchable erythema is present.

Which characteristic of the skin and surrounding tissues of the sacral area help the nurse to classify a wound as a stage 1 pressure injury? Select all that apply. One, some, or all responses may be correct. Cyanotic skin changes are present. The skin is warm and edematous. The area is cooler than the adjacent tissue. There is generalized blanchable erythema. Localized, nonblanchable erythema is present.
Which characteristic of the skin and surrounding tissues of the sacral area help the nurse to
classify a wound as a stage 1 pressure injury? Select all that apply. One, some, or all
responses may be correct.
Cyanotic skin changes are present.
The skin is warm and edematous.
The area is cooler than the adjacent tissue.
There is generalized blanchable erythema.
Localized, nonblanchable erythema is present.

Solution
4.2(195 votes)

Answer

Localized, nonblanchable erythema is present. Explanation 1. Identify Stage 1 Pressure Injury Characteristics A stage 1 pressure injury is characterized by localized, nonblanchable erythema of intact skin. This means the redness does not turn white when pressed. 2. Evaluate Each Option - Cyanotic skin changes are not typical for stage 1. - Warm and edematous skin can be present but is not definitive. - Cooler areas are not indicative of stage 1. - Generalized blanchable erythema is not characteristic of stage 1. - Localized, nonblanchable erythema is a key indicator of stage 1.

Explanation

1. Identify Stage 1 Pressure Injury Characteristics<br /> A stage 1 pressure injury is characterized by localized, nonblanchable erythema of intact skin. This means the redness does not turn white when pressed.<br /><br />2. Evaluate Each Option<br /> - Cyanotic skin changes are not typical for stage 1.<br /> - Warm and edematous skin can be present but is not definitive.<br /> - Cooler areas are not indicative of stage 1.<br /> - Generalized blanchable erythema is not characteristic of stage 1.<br /> - Localized, nonblanchable erythema is a key indicator of stage 1.
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