National Physical Therapy Examination (NPTE) Practice Exam

For a patient with a Stage 3 pressure injury, what should be the initial focus of treatment?

1. Depth

2. Diameter

3. Exudate

4. Necrotic tissue

The correct answer is: Necrotic tissue

The initial focus of treatment for a patient with a Stage 3 pressure injury should be on necrotic tissue. Stage 3 pressure injuries are characterized by full-thickness skin loss, which may involve damage to or necrosis of subcutaneous tissue. This means that managing the wound effectively often requires the removal of necrotic tissue, a process known as debridement. Debridement is crucial because necrotic tissue can harbor bacteria, impede the healing process, and create a suitable environment for infection. By addressing necrotic tissue first, healthcare professionals can promote better healing conditions and prepare the wound for further treatment such as moisture management, infection control, and protection of the surrounding healthy tissues. While parameters like depth, diameter, and exudate are important factors to monitor and manage during the overall treatment of a pressure injury, the priority must be the removal of any dead or non-viable tissue initially, as this sets the foundation for optimal wound healing and recovery.