Which of the following statements shows the greatest understanding of

Which of the following statements shows the greatest understanding of wound staging?

1. “An ulcer must involve broken skin in order to be staged.”
2. “A wound that contains slough is difficult to stage.”
3. “This wound can’t be staged until it’s debrided.”
4. “The health care provider will need to stage the ulcer.”

ANSWER

ANS: 3
An unstageable ulcer is a full-thickness tissue loss in which the base of the ulcer is covered by slough (yellow, tan, gray, green, or brown) and/or eschar (tan, brown, or black) in the wound bed. Until enough slough and/or eschar is removed to expose the base of the wound, the true depth and therefore the stage cannot be determined. The remaining options are not correct.