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You are a nurse working on the unit and take the following report from the emergency department (ED) nurse: "We have a patient for you: R
You are a nurse working on the unit and take the following report from the emergency department (ED) nurse: "We have a patient for you: R.L. is an 81-year-old frail woman who has been in a nursing home. Her primary admitting diagnoses are sepsis, pneumonia, and dehydration, and she has a known stage 3 right hip pressure injury. Past medical history includes remote cerebrovascular accident with residual right-sided weakness and paresthesia, remote myocardial infarction, and peripheral vascular disease. She is full ACLS. Vital signs: BP 98/62, P 88 and regular, R 38 and labored, T 100.4oF. Lab work is pending; she has oxygen at 4 L via nasal cannula and IV of D5W/.45NS at 100 mL/hr. We just inserted an indwelling catheter. The infectious disease doctor has been notified, and respiratory therapy is with the patient - they are just leaving the ED and should arrive shortly."
A. What would you expect a stage 3 pressure injury to look like?
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