What are the key nursing priorities for a stage II/III pressure injury?

• A. Aggressive debridement only.
• B. Rely only on antibiotics.
• C. Stage-specific wound care, pressure offloading, moist wound healing environment, nutrition support, and monitoring for infection.
• D. Frequent bathing and drying.

Answer: (C)

Managing stage II/III pressure injuries centers on creating conditions that promote healing while preventing further injury. The best approach combines stage-appropriate wound care with pressure offloading, a moist wound environment, nutrition support, and careful infection monitoring. Wound care should be tailored to the wound’s stage: cleansing and using dressings that keep the wound bed moist, protect surrounding skin, and support tissue repair. Offloading involves turning schedules, positioning, and pressure-relieving surfaces to remove persistent pressure and shear from the injured area. A moist environment accelerates healing and can reduce pain, with dressing choice guided by the level of drainage and wound condition. Nutrition is essential because adequate protein, calories, and micronutrients like vitamin C and zinc support tissue repair and immune function. Regularly assess for infection and intervene promptly if signs appear; antibiotics are reserved for confirmed infection rather than used as a routine measure. Frequent bathing and drying is not a primary strategy for healing, as it can disrupt skin integrity and the protective barrier.