Upon assessing a pressure ulcer, the nurse notes the presence of red,

Upon assessing a pressure ulcer, the nurse notes the presence of red, yellow, and black tissue. Using the RYB color code, which wound care should the nurse plan?

1. Red
2. Yellow
3. Black
4. A combination of all three

ANSWER

Correct Answer: 3
Rationale: When using the RYB color code to guide wound care for a wound that contains more than one of the colors, the nurse plans care for the most serious color, in this case black.