Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What term best describes the skin integrity status in stage 1 pressure injuries?

1. Intact skin with discoloration

2. Open wound with granulation tissue

3. Desquamation of the skin

4. Skin atrophy

The correct answer is: Intact skin with discoloration

The term that best describes the skin integrity status in stage 1 pressure injuries is "intact skin with discoloration." This accurately reflects the characteristics of a stage 1 pressure injury, where the skin remains unbroken but exhibits changes such as color alterations in the area, typically referred to as non-blanchable erythema. This is an important indicator of early skin damage due to prolonged pressure, signaling that the tissue is compromised. In stage 1 pressure injuries, the skin's integrity is preserved, meaning there is no open wound or loss of tissue, which differentiates it from other stages. Understanding these characteristics is essential for early detection and intervention, allowing healthcare professionals to implement preventative measures to avoid progression to more severe stages of pressure injuries. Hence, recognizing intact skin with discoloration is crucial in nursing assessments and patient care.