A client has an abdominal incision. The surgical wound was closed with 10 sutures. This surgical wound heals by what type of intention?

Primary intention

Secondary intention

Tertiary intention

Binary intention

Answer and Explanation

The Correct Answer is A

Choice A reason: Primary intention is the correct answer, because it is the type of wound healing that occurs when the wound edges are approximated and closed with sutures, staples, or glue. Primary intention is the fastest and most effective way of wound healing, as it minimizes tissue loss, infection, and scarring.

Choice B reason: Secondary intention is not the correct answer, because it is the type of wound healing that occurs when the wound edges are not approximated and left open to heal by granulation, contraction, and epithelialization. Secondary intention is the slowest and least effective way of wound healing, as it results in more tissue loss, infection, and scarring.

Choice C reason: Tertiary intention is not the correct answer, because it is the type of wound healing that occurs when the wound edges are initially left open and then closed with sutures, staples, or glue after a period of time. Tertiary intention is a delayed form of primary intention, and it is used when the wound is contaminated, infected, or requires drainage.

Choice D reason: Binary intention is not the correct answer, because it is not a real term for wound healing. Binary intention is a madeup term that does not describe any specific process or outcome of wound healing.

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Correct Answer is D

Explanation

Choice A reason: Blanching is not the term for black and necrotic tissue. Blanching is the temporary whitening of the skin when pressure is applied. It indicates that the blood flow is intact and the tissue is healthy.

Choice B reason: Cellulitis is not the term for black and necrotic tissue. Cellulitis is a bacterial infection of the skin and subcutaneous tissue. It causes redness, swelling, warmth, and pain in the affected area.

Choice C reason: Tunneling is not the term for black and necrotic tissue. Tunneling is a narrow channel or pathway that extends from the wound into the surrounding tissue. It indicates a deeper and more complex wound.

Choice D reason: Eschar is the term for black and necrotic tissue. Eschar is a thick, dry, and hard crust that forms over a wound. It indicates a severe tissue damage and impaired healing.

A. Decreased level of rheumatoid factor B. A negative rheumatoid factor C. A positive rheumatoid factor D. Factor does not change

Correct Answer is C

Explanation

Choice A reason: A decreased level of rheumatoid factor is not seen in clients with rheumatoid arthritis. Rheumatoid factor is an antibody that is produced by the immune system and can bind to other antibodies. A high level of rheumatoid factor indicates an autoimmune disorder, such as rheumatoid arthritis.

Choice B reason: A negative rheumatoid factor is not seen in clients with rheumatoid arthritis. A negative rheumatoid factor means that the antibody is not detected in the blood. A negative rheumatoid factor does not rule out rheumatoid arthritis, but it may suggest a different type of arthritis or another condition.

Choice C reason: A positive rheumatoid factor is seen in clients with rheumatoid arthritis. A positive rheumatoid factor means that the antibody is detected in the blood. A positive rheumatoid factor is more likely to occur in clients with rheumatoid arthritis, especially during a flareup of the disease.

Choice D reason: Factor does not change is not seen in clients with rheumatoid arthritis. Rheumatoid factor can vary over time and may change depending on the activity of the disease. Rheumatoid factor may increase during a flareup and decrease during remission.

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A client has an abdominal incision. The surgical wound was closed with 10 sutures. This surgical wound heals by what type of intention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse assesses a deep wound. The area is covered by black and necrotic tissue. What term would the nurse use when documenting this wound?

Correct Answer is D

Explanation

The client with rheumatoid arthritis is having her rheumatoid factor (RF) drawn while she is having a flareup of the disease. Which result is seen in clients with rheumatoid arthritis?

Correct Answer is C

Explanation

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