Author Question: A patient has a healing abdominal wound. The wound has minimal exudate and collagen formation. How ... (Read 59 times)

Diane · **on:** Jul 22, 2018

A patient has a healing abdominal wound. The wound has minimal exudate and collagen formation. How should the nurse document this wound in the patient's chart?

a. Primary intention
b. Inflammatory phase
c. Proliferative phase
d. Secondary intention

Question 2

The patient informs the nurse before surgery that he has been advised by a friend to take garlic pills for his hypertension. The nurse should inform the physician because taking garlic may induce which of the following symptoms?

a. It may prolong bleeding time.
b. It may cause severe hypotension.
c. It may cause nausea and vomiting.
d. It may cause depression.

nothere · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C

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A Primary intention is not a phase of wound healing. Wounds that heal by primary intention have minimal tissue loss, such as a surgical wound. The edges are approximated, and the risk of infection is low.
B During the inflammatory phase, platelets gather to stop bleeding, a fibrin matrix forms, and white blood cells reach the wound, clearing it of debris.
C During the proliferative phase, the wound fills with granulation tissue (including collagen formation), the wound contracts, and the wound is resurfaced by epithelialization.
D Secondary intention is not a phase of wound healing. Wounds that heal by secondary intention have loss of tissue, such as a pressure ulcer. The wound is left open until it becomes filled by scar tissue.

Answer to Question 2

A

Feedback
A Garlic lowers blood pressure and blood lipids, but it inhibits platelet aggregation and thus may prolong bleeding time. The physician needs to be notified before surgery to assess the patient for bleeding during the postoperative period.
B There is no evidence to suggest that garlic can cause severe hypotension in a hypertensive patient.
C Garlic is not known to cause nausea and vomiting.
D Garlic is not known to treat depression. St. John's wort is taken by patients experiencing depression.