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.