An obese client on the unit has demonstrated difficulty healing a ...

[roselinechinyere27m]

An obese client on the unit has demonstrated difficulty healing a large pressure ulcer. The nurse correctly recognizes that this is most likely because of which factor?
 
  A) The client's size limits his activity level.
  B) Adipose tissue is poorly vascularized.
  C) Obesity is linked to impaired white blood cell function.
  D) The amount of tissue needing healing will increase the amount of time needed to adequately heal the wound.

Question 2

A client has been admitted to the acute care unit after surgery to debride an infected skin ulceration. The surgeon reports plans to leave the wound open to promote drainage and later close it. This represents what type of wound healing?
 
  A) Primary intention
  B) Secondary intention
  C) Tertiary intention
  D) Quadratic intention

[irishcancer18]

Answer to Question 1

Ans: B
Feedback:
Wound healing may be decreased in obese clients. Because adipose tissue is relatively avascular, it provides only a weak defense against microbial invasion and impairs delivery of nutrients to the wound.

Answer to Question 2

Ans: C
Feedback:
Healing by tertiary intention occurs when a delay ensues between injury and wound closure. This type of healing also is referred to as delayed primary closure. It may happen when a deep wound is not sutured immediately or is purposely left open until there is no sign of infection, then closed with sutures. Wounds with minimal tissue loss, such as clean surgical incisions or shallow sutured wounds heal, by primary intention. The edges of the primary wound are approximated or lightly pulled together. Wounds with full-thickness tissue loss, such as deep lacerations, burns, and pressure ulcers, have edges that do not readily approximate. They heal by secondary intention. The open wound gradually fills with granulation tissue.