The nurse is taking care of a postsurgical patient and notes the incision is clean and dry, with sutures intact.
The nurse further assesses that the wound is healing by:
Third intention.
First intention.
Second intention.
Fourth intention.
The Correct Answer is B
Choice A rationale:
Third intention healing, also known as delayed primary closure, is used when wound closure is delayed due to infection risk.
Choice B rationale:
First intention healing occurs when the wound edges are approximated, such as with sutures.
Choice C rationale:
Second intention healing occurs when the wound edges cannot be approximated and the wound heals from the bottom up.
Choice D rationale:
Fourth intention healing is not a recognized term in wound healing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
E. Using a thermometer to check the temperature of the pad, Securing the pad to the patient, Instructing the patient not to sleep on the pad, Inspecting the plug and cord for cracks or fraying.
Choice A rationale:
It’s important to check the temperature of the pad to prevent burns.
Choice B rationale:
Securing the pad ensures it stays in place and provides consistent heat.
Choice C rationale:
Patients should not lie on top of the pad as it can lead to burns.
Choice D rationale:
Patients should not sleep on the pad to prevent prolonged exposure which can lead to burns.
Choice E rationale:
Inspecting the plug and cord prevents electrical hazards.
Correct Answer is ["B","C","D"]
Explanation
D.
Choice A rationale:
A BMI of 20 is within the normal range (18.5-24.9), so it does not increase the risk of pressure injuries.
Choice B rationale:
Peripheral neuropathy can lead to decreased sensation, increasing the risk of pressure injuries as the person may not feel discomfort from prolonged pressure.
Choice C rationale:
Immobility is a major risk factor for pressure injuries as it increases the duration of pressure on certain areas of the body.
Choice D rationale:
Hypoperfusion, or reduced blood flow, can lead to tissue damage and increase the risk of pressure injuries.
Choice E rationale:
A prealbumin level of 16 mg/dL is within the normal range (15-36 mg/dL), so it does not increase the risk of pressure injuries.
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