While monitoring a patient with a severe burn injury, you notice rough, discolored patches on the patient's heels that remain red even if you press on them. This condition has likely developed due to the pressure caused by the patient's immobility. How would you classify this type of injury?
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✓ Correct answer: B. Grade IAnswer: Grade I A pressure injury consists of localized skin and underlying soft tissue damage usually over a bony prominence or related to a medical device. These injuries most often occur in areas where pressure, shearing force, and moisture have damaged the skin and tissue layers. Grading for pressure injuries consists of a four-grade scale, with Grade I ulcers being the least extensive and Grade IV being the most extensive. A pressure injury with non-blanchable erythema and no breaks in the skin would represent a Grade I injury.
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