Author Question: An obese client on the unit has demonstrated difficulty healing a large pressure ulcer. The nurse ... (Read 36 times)

roselinechinyere27m

  • Hero Member
  • *****
  • Posts: 557
An obese client on the unit has demonstrated difficulty healing a large pressure ulcer. The nurse correctly recognizes that this is most likely because of which factor?
 
  A) The client's size limits his activity level.
  B) Adipose tissue is poorly vascularized.
  C) Obesity is linked to impaired white blood cell function.
  D) The amount of tissue needing healing will increase the amount of time needed to adequately heal the wound.

Question 2

A client has been admitted to the acute care unit after surgery to debride an infected skin ulceration. The surgeon reports plans to leave the wound open to promote drainage and later close it. This represents what type of wound healing?
 
  A) Primary intention
  B) Secondary intention
  C) Tertiary intention
  D) Quadratic intention



irishcancer18

  • Sr. Member
  • ****
  • Posts: 310
Answer to Question 1

Ans: B
Feedback:
Wound healing may be decreased in obese clients. Because adipose tissue is relatively avascular, it provides only a weak defense against microbial invasion and impairs delivery of nutrients to the wound.

Answer to Question 2

Ans: C
Feedback:
Healing by tertiary intention occurs when a delay ensues between injury and wound closure. This type of healing also is referred to as delayed primary closure. It may happen when a deep wound is not sutured immediately or is purposely left open until there is no sign of infection, then closed with sutures. Wounds with minimal tissue loss, such as clean surgical incisions or shallow sutured wounds heal, by primary intention. The edges of the primary wound are approximated or lightly pulled together. Wounds with full-thickness tissue loss, such as deep lacerations, burns, and pressure ulcers, have edges that do not readily approximate. They heal by secondary intention. The open wound gradually fills with granulation tissue.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Elderly adults are living longer, and causes of death are shifting. At the same time, autopsy rates are at or near their lowest in history.

Did you know?

For high blood pressure (hypertension), a new class of drug, called a vasopeptidase blocker (inhibitor), has been developed. It decreases blood pressure by simultaneously dilating the peripheral arteries and increasing the body's loss of salt.

Did you know?

About 600,000 particles of skin are shed every hour by each human. If you live to age 70 years, you have shed 105 pounds of dead skin.

Did you know?

The people with the highest levels of LDL are Mexican American males and non-Hispanic black females.

Did you know?

The liver is the only organ that has the ability to regenerate itself after certain types of damage. As much as 25% of the liver can be removed, and it will still regenerate back to its original shape and size. However, the liver cannot regenerate after severe damage caused by alcohol.

For a complete list of videos, visit our video library