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Phlebotomy Essentials
6th Edition
ISBN: 9781451194524
Author: Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher: JONES+BARTLETT PUBLISHERS, INC.
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A 6-year-old male with cerebral palsy is hospitalized for respiratory distress secondary to aspiration pneumonia. During the patient’s third day in ICU, he remains ventilated and sedated. During a skin assessment, the nurse notes an open area on the patient’s occiput with the skull visible. During handoff, it was reported that the skin was intact. Upon review of the original assessment, there is no documentation of any open areas.
1. Identify the stage of the pressure injury and rationale supporting why.
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