Bharat is 75 year old male of Indian decent. Because of his dark skin tone, the nurse was unsure which stage of the pressure injury was at, so she took a photo and sent it to the wound care nurse specialist for review.There are resources regarding pressure injury assessment particularly designed for dark skin tone, check out the link to your right and identify which stage of the pressure injury Bharat had.

Look up the pressure injury clinical resources link to the right from the NZ Wound Care Society, list the six stages of pressure injuries

When providing care to an individual, what can be done to prevent the development of pressure injuries?Massage any reddened areas to increase blood flow.Use harsh soap on skin when providing cares.Observe the skin for any potential breakdown.Encourage minimal activity during the day

Reviewing the location of the pressure injuries and the risk factors it associate with, what can you do as a nurse to reduce the incidents of pressure injuries?

Which would be considered a ‘Stage 2’ pressure injury?Question 3Answera.Partial thickness skin loss involving the epidermis and dermis.b.Intact skin with non-blanchable redness of a localised area.c.Obscured full-thickness skin and tissue loss.d.Full thickness skin loss, where subcutaneous fat may be visible.

62) A nurse is caring for a client who is in the progressive stage of shock. Which findingshould the nurse expect?(a) Blood pressures change from 129/78 (95) to 89/45 (60)(b) Blood pressures change from 95/55 (68) to 90/52 (65)(c) Blood pressures change from 100/50 (67) to 90/45 (60)(d) Blood pressure reading is undetectable