The surgical report of a newly transferred client indicates that ...

[Marty]

The surgical report of a newly transferred client indicates that there was a great deal of intestinal spillage into the abdominal cavity during the client's bowel resection. For which category of wound should the receiving nurse plan care for this client?
 
  1. Clean-contaminated
  2. Contaminated
  3. Dirty
  4. Infected

Question 2

A client sustained several wounds on the legs caused by a fall. On the day after the injuries, the wounds appear red and edematous. The nurse identifies the stage of healing of these wounds as being:
 
  1. Inflammatory.
  2. Proliferative.
  3. Maturation.
  4. Remodeling.

[ASDFGJLO]

Answer to Question 1

Correct Answer: 2
Rationale 1: Clean-contaminated wounds are surgical wounds in which the respiratory, alimentary, genital, or urinary tract has been entered, but minimal to no spillage has occurred.
Rationale 2: A surgical wound in which there is a large amount of spillage from the gastrointestinal tract is considered a contaminated wound.
Rationale 3: A dirty wound is one that contains dead tissue or that has evidence of a clinical infection, such as purulent drainage.
Rationale 4: An infected wound is one that contains dead tissue or that has evidence of a clinical infection, such as purulent drainage.

Answer to Question 2

Correct Answer: 1
Rationale 1: The inflammatory phase is initiated immediately after injury, and lasts 36 days.
Rationale 2: The proliferative phase, the second phase in healing, extends from day 3 or 4 to about day 21 post-injury.
Rationale 3: The maturation phase begins on about day 21 and can extend 1 or 2 years after the injury.
Rationale 4: Remodeling is another name for the maturation phase.