- Non-blanchable redness of intact skin.
- Partial-thickness skin loss involving the epidermis and/or dermis.
- Full-thickness tissue loss with visible fat, but no bone, tendon, or muscle.
- Full-thickness tissue loss with exposed bone, tendon, or muscle.
A nurse is caring for a patient with a pressure injury. The nurse identifies the wound as Stage III. This stage is characterized by:
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