This topic contains a solution. Click here to go to the answer

Author Question: The nurse is assessing the pressure ulcer of a 68-year-old female client. Which of the following ... (Read 72 times)

bobbysung

  • Hero Member
  • *****
  • Posts: 519
The nurse is assessing the pressure ulcer of a 68-year-old female client. Which of the following would indicate to the nurse that healing is taking place?
 
  1. Eschar
  2. Slough
  3. Granulation tissue
  4. Exudate

Question 2

The 23-year-old female client is concerned about scarring from her hernia surgery. She had a third-degree burn on her right arm when she was younger that left a scar that she is self-conscious about.
 
  Then nurse explains to the client that the wound from the burn healed differently than the surgi-cal incision will heal. The incision that she will have will heal by:
  1. Primary intention
  2. Secondary intention
  3. Tertiary intention
  4. Dehiscence



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Mollythedog

  • Sr. Member
  • ****
  • Posts: 340
Answer to Question 1

ANS: 3
Granulation tissue is red moist tissue composed of new blood vessels, the presence of which in-dicates progression toward healing. Black or brown necrotic tissue is eschar which you will need to remove before healing can proceed. Soft, yellow or white tissue is characteristic of slough (stringy substance attached to wound bed), and you will need to remove this before the wound is able to heal. Wound exudate describes the amount, color, consistency, and odor of wound drainage and is part of the wound assessment. Excessive exudate indicates the presence of infec-tion. The presence of exudate on the skin surrounding the wound is indicative of wound deterio-ration.

Answer to Question 2

ANS: 1
The surgical wound heals by primary intention. The skin edges are approximated, or closed, and the risk for infection is low. Healing occurs quickly; with minimal scar formation, as long as in-fection and secondary breakdown is prevented. Healing occurs by epithelialization. A wound involving loss of tissue, such as a burn, pressure ulcer, or severe laceration, heals by secondary intention. The wound is left open until it becomes filled by scar tissue. It takes longer for a wound to heal by secondary intention, and thus the chance of infection is greater. In tertiary in-tention, a wound is left open for several days, then wound edges are approximated. This type of healing is for wounds that are contaminated and require observation for signs of inflammation. Closure of wound is delayed until risk for infection is resolved. When a wound fails to heal properly, the layers of skin and tissue separate. This most commonly occurs before collagen for-mation (3 to 11 days after injury). Dehiscence is the partial or total separation of wound layers.




bobbysung

  • Member
  • Posts: 519
Reply 2 on: Jul 23, 2018
Gracias!


carlsona147

  • Member
  • Posts: 341
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

 

Did you know?

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

Did you know?

Interferon was scarce and expensive until 1980, when the interferon gene was inserted into bacteria using recombinant DNA technology, allowing for mass cultivation and purification from bacterial cultures.

Did you know?

Patients who have been on total parenteral nutrition for more than a few days may need to have foods gradually reintroduced to give the digestive tract time to start working again.

Did you know?

Every 10 seconds, a person in the United States goes to the emergency room complaining of head pain. About 1.2 million visits are for acute migraine attacks.

Did you know?

To combat osteoporosis, changes in lifestyle and diet are recommended. At-risk patients should include 1,200 to 1,500 mg of calcium daily either via dietary means or with supplements.

For a complete list of videos, visit our video library