Author Question: A client with an infected four-day-old postoperative wound has been readmitted to the unit for wound ... (Read 68 times)

geoffrey

  • Hero Member
  • *****
  • Posts: 880
A client with an infected four-day-old postoperative wound has been readmitted to the unit for wound debridement and antibiotic therapy.
 
  The wound is sutured with a scab that is pulling away from the edges of the skin, is draining pus and serosanguinous fluid, and is swollen and reddened. The nurse classifies the wound at what stage of healing? 1. Secondary intention healing
  2. Proliferative phase
  3. Maturation phase
  4. Inflammatory phase

Question 2

During data collection, the nurse identifies the following as subjective data:
 
  1. Laughing during interview
  2. I feel so dizzy
  3. My dressing is bloody
  4. Temperature is 100.2
  5.



scikid

  • Sr. Member
  • ****
  • Posts: 300
Answer to Question 1

4
Rationale: The wound was sutured and therefore intended to heal as primary intention. The wound is red and inflamed with serosanguinous drainage, and is four days old, which is the inflammatory phase. In the proliferative phase, the skin is still reddened but is no longer greatly inflamed. The maturation phase is characterized by a scar that continues to grow stronger with tissue growth. Secondary intention healing occurs when the wound is left open to heal rather than being sutured or approximated.

Answer to Question 2

2
Rationale 1: The nurse can observe this data, so it is objective data.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

If you could remove all of your skin, it would weigh up to 5 pounds.

Did you know?

Stroke kills people from all ethnic backgrounds, but the people at highest risk for fatal strokes are: black men, black women, Asian men, white men, and white women.

Did you know?

It is believed that humans initially contracted crabs from gorillas about 3 million years ago from either sleeping in gorilla nests or eating the apes.

Did you know?

Dogs have been used in studies to detect various cancers in human subjects. They have been trained to sniff breath samples from humans that were collected by having them breathe into special tubes. These people included 55 lung cancer patients, 31 breast cancer patients, and 83 cancer-free patients. The dogs detected 54 of the 55 lung cancer patients as having cancer, detected 28 of the 31 breast cancer patients, and gave only three false-positive results (detecting cancer in people who didn't have it).

Did you know?

Despite claims by manufacturers, the supplement known as Ginkgo biloba was shown in a study of more than 3,000 participants to be ineffective in reducing development of dementia and Alzheimer’s disease in older people.

For a complete list of videos, visit our video library