Author Question: When assessing a client's wound, the nurse observes that the damaged tissue is being replaced with ... (Read 73 times)

luminitza · **on:** Jul 22, 2018

When assessing a client's wound, the nurse observes that the damaged tissue is being replaced with fibrous tissue. What stage of the wound healing process should the nurse recognize?

A) Resolution
B) Regeneration
C) Scar formation
D) Phagocytosis

Question 2

A health care agency is applying for accreditation and the accrediting agency is conducting audits of randomly selected medical records. To support the agency's accreditation, these medical records should include:

A) Evidence of home care and nursing follow-up for six weeks following discharge
B) Self-reflection from nursing and other care providers about the quality of their care
C) Evidence that nurses have set goals for improving their future practice
D) Evidence that nursing interventions have been evaluated in terms of the client's response

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

Answer to Question 1

C
Feedback:
Scar formation is the replacement of damaged cells with fibrous tissue. The integrity of skin and damaged tissue is restored by resolution, which is the process by which damaged cells recover and reestablish their normal function, regeneration or cell duplication, and scar formation. Phagocytosis is the process by which types of white blood cells consume pathogens, coagulated blood, and cellular debris.

Answer to Question 2

D
Feedback:
The medical record serves multiple purposes, including a role in accreditation. Accreditors look for evidence of evaluation following interventions. The medical record is not the correct venue for nurses' self-reflection or personal goal-setting. Many clients do not require community-based follow up after they have been discharged.