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 C
Explanation
Choice A rationale:
Stage 1 pressure ulcers are characterized by intact skin with non-blanchable redness of a localized area usually over a bony prominence.
Choice B rationale:
Stage 3 pressure ulcers involve full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon, or muscle are not exposed.
Choice C rationale:
Stage 2 pressure ulcers involve partial thickness loss of dermis presenting as a shallow open ulcer with a red pink wound bed, without slough.
Choice D rationale:
Stage 4 pressure ulcers involve full thickness tissue loss with exposed bone, tendon, or muscle. Slough or eschar may be present on some parts of the wound bed.
Correct Answer is D
Explanation
Choice A rationale:
Reconstruction is incorrect because it is not the second stage of wound healing.
Choice B rationale:
Maturation is incorrect because it is not the second stage of wound healing.
Choice C rationale:
Proliferation is incorrect because it is not the second stage of wound healing.
Choice D rationale:
Inflammation is the correct answer because it is the second stage of wound healing.
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