A Patient Has a Quarter Sized Blackened Eschar on Both

question 35

Multiple Choice

A patient has a quarter sized blackened eschar on both heels surrounded by a 1 to 2 cm indurated reddened area. The nurse is aware that these lesions are:

• A) pressure ulcers that cannot be accurately staged because of the eschar.
• B) stage I pressure ulcers because of the induration and redness.
• C) stage II pressure ulcers because the skin has been broken.
• D) stage III or IV pressure ulcers because of the eschar.

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Definitions:

Sensory Systems

The components of the nervous system responsible for detecting and interpreting sensory inputs from the surroundings.

Cerebral Cortex

The outermost layer of the brain, involved in high-level functions such as thought, language, memory, and consciousness.

Hearing

The sense by which sound is perceived, involving the detection of vibrations and changes in pressure in the ear.

Sensory Systems

The parts of the nervous system that are involved in receiving and processing sensory information from the environment.