After closing the curtain around the client’s bed and lifting his gown to expose the horizontal abdominal wound, which of the following positions should you assist the client into for comfortable wound irrigation?

High-Fowler’s

Side-lying

Supine

Dorsal Recumbent

Answer and Explanation

The Correct Answer is A

Choice A rationale
The High-Fowler’s position, with the client sitting upright at a 90-degree angle, is ideal for abdominal wound irrigation as it reduces the risk of fluid accumulation in the wound area and promotes drainage.

Choice B rationale
The side-lying position is not typically used for abdominal wound irrigation because it can cause pooling of the irrigation solution and does not facilitate easy access to the wound site.

Choice C rationale
The supine position, with the client lying flat on their back, is not suitable for abdominal wound irrigation as it can lead to fluid retention in the wound and does not aid in drainage.

Choice D rationale
The dorsal recumbent position, with the client lying on their back with knees bent, is also not optimal for abdominal wound irrigation due to the potential for fluid to collect in the wound area.

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

Explanation

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.

A. Remodeling phase B. Primary intention C. Tertiary intention D. Secondary intention

Correct Answer is C

Explanation

Choice A rationale
The remodeling phase is the final stage of the healing process, where the wound strength and function are gradually restored over time. This phase does not involve initial suturing; rather, it is the period after the wound has closed. Therefore, this choice does not pertain to the initial management of a wound with an active infection.

Choice B rationale
Healing by primary intention involves closing a wound with sutures, staples, or adhesive to facilitate healing. However, when there is an infection, suturing is delayed until the infection is resolved to prevent trapping bacteria inside, which could worsen the infection or lead to abscess formation. Once the infection is under control, the wound can be closed, promoting faster and more cosmetically appealing healing. This method reduces scarring and speeds recovery compared to secondary intention, where the wound is left open to heal from the bottom up.

Choice C rationale
Tertiary intention, also known as delayed primary closure, is used when there is a need to delay closing the wound, often due to infection. The wound is left open to allow for adequate drainage and resolution of the infection before it is sutured closed. This method helps to prevent the entrapment of bacteria within the wound, which could exacerbate the infection1.

Choice D rationale
Secondary intention healing occurs when a wound is left open and allowed to close on its own without surgical closure. This method is typically used for wounds with significant tissue loss or those that cannot be closed directly. It is not specifically related to the delay of suturing due to infection

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After closing the curtain around the client’s bed and lifting his gown to expose the horizontal abdominal wound, which of the following positions should you assist the client into for comfortable wound irrigation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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.)

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

Explanation

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Correct Answer is C

Explanation

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