A nurse is concerned about an HIV immunocompromised patient’s ability to heal due to a lack of certain factors. Which of the following are necessary for proper wound healing? (Select all that apply.)

Adequate fibroblast function

Intrinsic factor

Synthesis of collagen

Hemoglobin

Adequate phagocytosis

Answer and Explanation

Correct Answer : A,C,E

Choice A rationale
Adequate fibroblast function is crucial for wound healing as fibroblasts play a key role in the formation of new connective tissue and collagen, which are essential for the repair process.

Choice B rationale
Intrinsic factor is not directly related to wound healing; it is a glycoprotein produced by the stomach lining that is necessary for the absorption of vitamin B12.

Choice C rationale
The synthesis of collagen is vital for wound healing because collagen is the main structural protein in the skin and other connective tissues, providing strength and support to the wound site.

Choice D rationale
While hemoglobin is essential for transporting oxygen in the blood, it is not a factor in the local wound healing process.

Choice E rationale
Adequate phagocytosis is important in wound healing as it involves the ingestion and removal of pathogens and debris by phagocytes, which is a critical step in preventing infection and allowing the healing process to proceed.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale
An abrasion occurs when the skin is scraped off, usually due to a surface rubbing or scraping against the skin. It does not involve pooling of blood under the skin but rather an injury to the top layer of the skin.

Choice B rationale
An avulsion is a severe type of wound that occurs when a portion of the skin and sometimes the tissue beneath is partially or completely torn away. It is not characterized by pooling of blood under unbroken skin.

Choice C rationale
A laceration refers to a deep cut or tear in the skin or flesh. Because lacerations imply that the skin is broken and torn, it does not describe the condition where blood pools under unbroken skin.

Choice D rationale
A hematoma is a localized collection of blood outside the blood vessels, usually in liquid form within the tissue. This is the correct term for a pooling of blood under unbroken skin, as described in the scenario following the patient’s fall. Hematomas can be caused by injury, such as a fall, that causes blood vessels to break and bleed into the surrounding tissues.

A. Keeping skin and surrounding tissue clean and dry. B. Proper nutrition with adequate protein and vitamins. C. Resting as much as possible and keeping the incisional area still. D. Increasing fluid intake to at least 4000 mL per day. E. Exercise and deep breathing to increase oxygen.

Correct Answer is ["A","B","C","E"]

Explanation

Choice A rationale
Keeping the skin and surrounding tissue clean and dry helps prevent infection, which is crucial for proper wound healing. A clean environment is less likely to harbor bacteria that can cause complications.

Choice B rationale
Proper nutrition, particularly adequate protein and vitamins, provides the necessary building blocks for tissue repair and supports the immune system, which is essential for healing.

Choice C rationale
Resting and minimizing movement of the incisional area help prevent further injury and allow the body’s resources to focus on the healing process.

Choice D rationale
While fluid intake is important, 4000 mL per day may be excessive unless specifically recommended for the patient’s condition. Overhydration can be harmful.

Choice E rationale

Exercise and deep breathing increase blood flow and oxygenation to tissues, which are vital for healing. Oxygen is needed for cellular functions that repair tissue.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is concerned about an HIV immunocompromised patient’s ability to heal due to a lack of certain factors. Which of the following are necessary for proper wound healing? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has a pooling of blood under unbroken skin of the hip after a fall. The nurse should document that this patient has a/an:

Correct Answer is D

Explanation

Many factors aid in healing. You can assist the patient in improving their healing ability by encouraging the following (Select all that apply):

Correct Answer is ["A","B","C","E"]

Explanation

A nurse is caring for a client who has multiple sclerosis and a chronic nonhealing wound. The nurse should recognize that which of the following types of medications is known to delay wound healing?

When applying an ice pack, it is necessary to:

The nurse assesses the large raised scar on the African American patient. How should the nurse document the lesion?

What type of dressing allows for multiple inspections and changes without disrupting the skin because the tape is left in place?

A nurse explains that the major purpose of the use of a hydrocolloid dressing is to:

A nurse is ambulating a patient in the hall a few days after abdominal surgery when the patient says, “I think something just let go.” What should be the nurse’s initial intervention?

The patient is undergoing Negative Pressure Wound Therapy (NPWT) treatment for wound healing. Which would be your first priority in caring for this patient?