What type of wound heals by edges approximating with a suture?
Secondary intention.
Remodeling phase.
Primary intention.
Tertiary intention.
The Correct Answer is C
Choice A rationale
Healing by secondary intention occurs when a wound is left open and closes naturally through granulation tissue formation, contraction, and epithelialization. This process is typically for wounds that cannot be closed with sutures due to infection or other factors.
Choice B rationale
The remodeling phase is the final stage of the healing process where the wound strength increases and scar tissue forms. It is not a type of wound healing but rather a phase that can occur in both primary and secondary intention healing.
Choice C rationale
Primary intention healing is when the wound edges are brought together, typically with sutures, staples, or adhesive tape. This method minimizes scarring and speeds up the healing process, making it the preferred method for surgical incisions.
Choice D rationale
Tertiary intention, also known as delayed primary closure, involves initially leaving the wound open due to contamination or infection and then closing it surgically once it is clean. This is not the type of healing described in the question.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
A contusion, commonly known as a bruise, is characterized by bleeding under the skin, causing discoloration and swelling. It does not involve a break in the skin and therefore does not match the description of the wound with torn skin tissue.
Choice B rationale
A laceration refers to a deep cut or tear in the skin or flesh. Because the nurse discovered torn skin tissue, this type of wound is consistent with the client’s injury described in the scenario.
Choice C rationale
An abrasion is a wound caused by superficial damage to the skin, usually no deeper than the epidermis. It is typically caused by a scrape against a rough surface and is not associated with torn skin tissue.
Choice D rationale
A puncture is a small hole caused by a long, pointed object, such as a nail or needle. This type of wound usually does not result in torn skin tissue but rather a deeper, more narrow penetration.
Correct Answer is D
Explanation
Choice A rationale
Healing by second intention occurs when a wound is left open and allowed to close by granulation, epithelialization, and contraction. This method is used for wounds that are infected, have lost tissue, or where there is a delay in suturing. It is not applicable in this case as the wound is sutured and healing cleanly.
Choice B rationale
There is no recognized method of wound healing known as fourth intention. This option does not exist in medical terminology related to wound healing and is therefore not a correct choice.
Choice C rationale
Third intention, also known as delayed primary closure, is when a wound is initially left open due to contamination or infection and is not closed until it is clean. This is not the case here as the wound has been sutured closed from the beginning.
Choice D rationale
First intention, also known as primary intention, is when a clean wound is immediately closed with sutures, staples, or adhesive, leading to minimal scarring. This is the method described in the scenario, where the post-surgical wound is clean, dry, and the sutures are intact, indicating healing by first intention. This method is typically used for surgical incisions under sterile conditions.
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