A client has a laceration that was closed with tissue adhesive. ...

[TVarnum]

A client has a laceration that was closed with tissue adhesive. Which is the process by which this wound will heal?
 
  A) Open approximation
  B) Secondary healing
  C) Delayed closure
  D) Primary intention

Question 2

A client's spouse reports the presence of a reddened area on the client's coccyx and wants to massage the area. Which response by the nurse is appropriate?
 
  A) I will need to obtain an order from the healthcare provider to perform a massage.
  B) Massaging the area twice daily will help restore circulation and should be incorporated into the plan of care.
  C) I will record these findings in the medical record.
  D) Massaging the area may actually cause more harm to a potentially compromised area of skin.

[SomethingSomething]

Answer to Question 1

Answer: D

In primary intention wound healing, the edges of the wounds are approximated and held together with sutures, bandages, or tissue adhesive. Scarring is minimal with these wounds. Secondary healing involves wounds that cannot be approximated and that must heal in. These wounds are at higher risk for infection, take longer to heal, and are more prone to scarring. Open approximation or delayed closure wounds are left open for 3 to 5 days to allow edema or infection to resolve.

Answer to Question 2

Answer: D

The presence of redness may indicate the presence of a stage I pressure ulcer. Massage can cause a friction-like response to compromised skin and should be restricted when problems are noted. Massages, when therapeutic, do not require a healthcare provider's order.