Intact skin over the heel shows a persistent deep purple discoloration that does not blanch, and the area feels boggy. This finding MOST corresponds to:
1A stage 1 pressure injury that resolves with pressure relief alone
2A stage 2 pressure injury with partial-thickness skin loss present
3A normal bruise that requires no change in the plan of care
4A deep tissue pressure injury that may evolve to a deeper wound✓ 정답
해설
피부는 온전하지만 지속되는 짙은 자주색 비창백성 변색과 물렁한 촉감 = 심부조직 손상이다. 표면이 멀쩡해 보여도 아래 조직이 손상되어 빠르게 진행할 수 있다.