A Client Has a Pressure Injury on the Medial Malleolus

question 19

Multiple Choice

A client has a pressure injury on the medial malleolus. The client's skin is intact with purple discoloration and a blood-filled blister. When documenting this finding, which terminology is appropriate for the nurse to use?

• A)Partial-thickness loss of dermis
• B)Nonblanchable erythema
• C)Suspected deep tissue injury
• D)Full-thickness tissue loss

---

Definitions:

Risk

The uncertainty regarding the loss or gain in the future, affecting decisions in finance and investments.

Uncertainty

A situation where the outcomes of actions or events are unknown, often leading to risk in decision-making.

Body Mass Index (BMI)

A numerical computation that evaluates an individual's body weight in relation to their height, used to categorize underweight, normal weight, overweight, and obesity.

Financial Incentives

Monetary benefits offered to influence the behavior or decisions of individuals or organizations.