The nurse assesses a patient's pressure ulcer wound as being of ...

[vinney12]

The nurse assesses a patient's pressure ulcer wound as being of less in diameter. This process is considered:
 
  a. contraction c. granulation
  b. proliferation d. epithelialization

Question 2

A nurse working at a clinic in a community of mostly blue-collar workers is planning an educational session on wellness. In order to promote wellness regarding nicotine addiction, the nurse plans to:
 
  1. Become more aware of marketing efforts by tobacco companies.
   2. Tell this group that smoking is unacceptable.
   3. Make sure the group is aware of the increased risk of liver disease and cancer of the esophagus.
   4. Counsel the group regarding addiction.

[aprice35067]

Answer to Question 1

A
In an open wound such as a pressure ulcer, the phenomenon known as contraction contributes to the repair process. Contraction involves the mobilization of the wound edges to reduce the size of the tissue defect so that less granulation tissue is required to repair the wound. Proliferation is the rebuilding phase. Granulation is tissue composed of newly formed blood vessels and connective tissue. Epithelialization is the synthesis of new skin.

Answer to Question 2

1. Become more aware of marketing efforts by tobacco companies.

Rationale:
Smoking is a type of drug abuse prevalent in this socioeconomic group and can lead to lung cancer and cardiovascular disease. The nurse's role regarding smoking in this situation is to serve as a role model by not smoking, provide educational information regarding the dangers of smoking,, help make smoking socially unacceptable, suggest resources such as hypnosis, and assist with lifestyle training and behavior modification to clients who desire to stop smoking. Simply telling the group that smoking is unacceptable is not effective in promoting wellness. Discussing esophageal cancer and liver disease is inappropriate for a single educational session; lung cancer and cardiovascular disease are the primary health threats that should be discussed. Because this is an educational presentation for a group and not a one-on-one session, counseling is inappropriate.