Drag each assessment finding to the pressure-injury category… | MyMerci
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System-Specific Assessments

Drag each assessment finding to the pressure-injury category it most strongly supports.

Matrix Multiple Choice

Choose your responses, then check the answer.

1. Shallow open ulcer with a pink-red wound bed and no slough
2. Intact serum-filled blister on the heel
3. Full-thickness tissue loss with visible subcutaneous fat
4. Undermining and tunneling with visible adipose tissue
5. Deep crater with visible fat but no exposed muscle
6. Wound bed completely covered by thick eschar
7. Full-thickness tissue loss with slough obscuring the base
Explanation
Stage 1 is intact skin with nonblanchable erythema. Stage 2 is partial-thickness skin loss with exposed dermis. Stage 3 is full-thickness skin loss with visible adipose but no exposed fascia, muscle, tendon, cartilage, or bone. Unstageable injury has obscuring slough or eschar. Deep-tissue pressure injury has persistent deep red, maroon, or purple discoloration or a dark wound bed. In this set, only three categories are used: Stage 2, Stage 3, and Unstageable. Findings that describe intact skin or deep-tissue discoloration are not included. Items with partial-thickness loss or exposed dermis belong to Stage 2; items with visible adipose or full-thickness loss belong to Stage 3; items with obscured wound beds belong to Unstageable.
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