Skin, hair and nails of a composite woman in her seventies, NU333 Unit 3: one staged pressure injury, one deep tissue injury described exactly, one changing mole recorded by ABCDE. Searches like "nu 333 unit 3 assignment example", "nu333 unit 3 sample" and "nu333 unit 3 example" land here.
What a finished NU333 Unit 3 integumentary assessment note looks like
About three pages, general findings first. Skin color, temperature, moisture and turgor, tested over the clavicle, open the note. The Braden Scale follows with each of its six subscale scores and a total of [13]. The left hip wound is documented by location, stage, size in centimeters [3.2 x 2.1], depth [0.2], wound bed [pink, moist, no slough], edges, periwound skin and drainage. The right heel is recorded as intact skin with a [4 x 3 cm] maroon area, boggy and cooler than the surrounding tissue, labeled a deep tissue pressure injury, the NPIAP term since 2016. A pigmented lesion on the upper back is described with ABCDE: asymmetric, irregular border, two shades of brown, [7 mm], reported as changing. Hair and nails follow briefly. The note closes with the findings reported and to whom.
How a NU333 Unit 3 example is structured
Description precedes interpretation throughout, and the note uses the vocabulary that wound staging and dermatology share. General skin findings come first because they set the baseline against which each lesion is read. Each wound follows the same order, location, stage, measurements, bed, edges, periwound and drainage, so two nurses measuring on different days can compare. Measurements follow the usual convention, length along the head-to-toe axis, width across it, depth in centimeters. The heel shows the note's restraint: intact discolored skin is described exactly and given the deep tissue term, without guessing how far the damage runs. Staging language follows current rules, including no reverse staging as wounds heal. The mole is described, not diagnosed, and the note records that it was reported for provider evaluation. Braden subscores are listed individually so the risk they reveal can be matched to care.
Baseline skin, then lesions
Color, temperature, moisture, texture and turgor are recorded before any wound. Turgor is tested over the clavicle, where age-related loss of elasticity misleads less than on the back of the hand.
Braden, subscale by subscale
Six subscales are scored separately, from sensory perception and skin moisture through nutrition to friction and shear. The total of [13] places her at moderate risk, and the low subscales point to what care must address.
One order for every wound
Location, stage, length, width, depth, bed, edges, periwound and drainage appear in the same sequence for each site. Consistent order is what makes day-to-day comparison possible.
A heel described, not guessed
Intact maroon skin that feels boggy is written up exactly as found and labeled with the NPIAP deep tissue term. The note does not predict how the area will evolve.
ABCDE on a changing mole
Asymmetry, border, color, diameter and evolution are each recorded with the finding. The lesion goes to the provider as reported; nothing in the note names a diagnosis.
Where marks go in NU333 Unit 3
A stage assigned to intact discolored skin, calling the heel stage 1 or stage 2, is the error graders catch most often here, because the staging system has a separate category for exactly that finding. Wounds described as small or healing, with no measurements, cannot be compared on the next shift. Reverse staging, calling a healing stage 3 a stage 2, draws a correction. The outdated term decubitus still appears and costs terminology points. Lesions labeled with a suspected diagnosis rather than described step past the RN's role in assessment. A Braden total given without subscores hides what drives the risk. Hair and nails skipped entirely leave the unit's third area unassessed, and abnormal findings with no record of reporting raise safety concerns.
Get a NU333 Unit 3 example written to your instructions
Wound documentation formats vary by facility and by course template, so the template decides much of the layout. Attach the Unit 3 assignment and rubric along with whatever wound form is in use; the composite note comes back staged in NPIAP terms, measured in centimeters and described in dermatologic vocabulary. First custom sample free, returned in 24-48h.
NU333 Unit 3 questions, answered
What is the Braden Scale?
A pressure injury risk tool with six subscales: sensory perception, skin moisture, activity level, mobility, nutrition, and friction and shear. Five subscales score one to four and friction and shear scores one to three, for totals from 6 to 23. Lower totals mean higher risk; 18 or below is a common threshold for prevention, and 13 to 14 is often called moderate risk.
Why can't a deep tissue pressure injury be staged?
Because the extent of damage under intact or discolored skin cannot be seen. The NPIAP system gives it a category of its own, and the area may evolve into a full-thickness wound or resolve. Writing it as a stage 1 or 2 understates the risk. Document the color, size, temperature and texture exactly, and reassess regularly.
What does ABCDE stand for in skin assessment?
Asymmetry, border irregularity, color variation, diameter, commonly a concern above 6 millimeters, and evolving, meaning change in size, shape, color or symptoms. It is a screening aid for pigmented lesions that may need evaluation for melanoma. In a nursing note, each letter is recorded as a finding, and the lesion is reported rather than diagnosed.