The nurse clarifies that the second stage of wound healing is:
Proliferation
Maturation
Inflammation
Remodeling
The Correct Answer is A
Choice A rationale
The second stage of wound healing is proliferation, which occurs after the initial hemostasis phase. During proliferation, the wound begins to be rebuilt with new, healthy granulation tissue. This tissue is rich in collagen, which forms a foundation for new tissue growth. Capillaries grow across the wound, bringing oxygen and nutrients that are essential for healing. New skin cells begin to form over this granulation tissue, which is a critical component of the healing process.
Choice B rationale
Maturation is the third and final stage of wound healing. It follows the proliferation stage and involves the remodeling of collagen, which strengthens the tissue and restores its normal function. During maturation, the new tissue slowly gains strength and flexibility. Here, the collagen fibers reorganize, the tissue remodels and contracts, and the healed wound becomes more resilient. This stage can take a long time, sometimes up to a year or more, depending on the wound’s severity and the patient’s overall health.
Choice C rationale
Inflammation is indeed the second stage of wound healing. It is a natural part of the healing process and involves controlling bleeding, preventing infection, and enabling the migration of healing cells to the wound area.
Choice D rationale
Remodeling is the last stage of wound healing, not the second. It occurs after the wound has closed and involves the long-term strengthening and formation of scar tissue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Pointing the device away while opening it is a safe practice to prevent contamination and accidental exposure to bodily fluids.
Choice B rationale
Not touching the drainage spout with the hand is correct as it prevents contamination of the spout, which could lead to infection.
Choice C rationale
Compressing the device before closing it is part of the proper procedure to re-establish the vacuum within the drain, which is necessary for it to function correctly.
Choice D rationale
Using one alcohol wipe to clean both the spout and the plug is incorrect because each should be cleaned with a separate sterile wipe to prevent cross-contamination and maintain sterility.
Correct Answer is D
Explanation
Choice A rationale
Preparing a discard bag next to the wound is a practical step in the process, but it is not the most critical action to prevent infection.
Choice B rationale
Remaining very still during the procedure is important, but it does not directly relate to maintaining the sterility of the dressing change.
Choice C rationale
Restraining from moving the patient is not typically necessary unless the patient is at risk of causing harm to themselves or disrupting the procedure.
Choice D rationale
Changing gloves after removing the old dressing is crucial to maintain sterility. The old dressing may be contaminated, and fresh gloves reduce the risk of introducing bacteria to the clean wound.
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