Restorative CareQuestion 121 of 200
A CNA observes a small area of intact skin on a resident's sacrum that is red and does not blanch (turn white) when pressed. This finding is classified as:
a.Stage 1 pressure injury
b.Stage 3 pressure injury
c.Unstageable pressure injury
d.Deep tissue injury (DTI)
Explanation
NPIAP staging: Stage 1 = intact skin with non-blanchable erythema (redness that does not turn white when pressed). Stage 2 = partial-thickness loss with exposed dermis. Stage 3 = full-thickness loss with visible subcutaneous fat. Stage 4 = full-thickness loss with exposed bone, tendon, or muscle. Unstageable (c) = depth obscured by slough/eschar. DTI (d) = persistent non-blanchable deep red, maroon, or purple discoloration suggesting deeper damage under intact or non-intact skin. CNAs must report any new redness immediately per 42 CFR §483.25(b) and Title 22 CCR §72523 (incident reporting).
Law Reference: 42 CFR §483.25(b); Title 22 CCR §72523Practice all 200 questions free — no signup required.
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