An elderly patient is concerned about a 1 cm bluish mark on…

An elderly patient is concerned about a 1 cm bluish mark on her lower lip. Per the patient, she thought it was a bruise initially; however, it has not disappeared in over 4 months. The lesion is soft and blanches with pressure. What should the nurse realize this patient is describing? 

While performing a skin assessment for a patient newly admit…

While performing a skin assessment for a patient newly admitted to the medical-surgical unit, the nurse notices a wound on the patient’s sacral area. The skin is not intact, the wound bed is mostly red; however, some yellow subcutaneous fat is visible. No muscle, bone, or tendons noted. What is the appropriate staging for this pressure injury?