A nurse is assessing a patient's wound. Which nursing observation ...

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A nurse is assessing a patient's wound. Which nursing observation will indicate the wound healed by secondary intention?
 
  a. Minimal loss of tissue function
  b. Permanent dark redness at site
  c. Minimal scar tissue
  d. Scarring that may be severe

Question 2

The nurse is caring for a patient who has experienced a laparoscopic appendectomy. For which type of healing will the nurse focus the care plan?
 
  a. Partial-thickness repair
  b. Secondary intention
  c. Tertiary intention
  d. Primary intention

[juiceman1987]

Answer to Question 1

ANS: D
A wound healing by secondary intention takes longer than one healing by primary intention. The wound is left open until it becomes filled with scar tissue. If the scarring is severe, permanent loss of function often occurs. Wounds that heal by primary intention heal quickly with minimal scarring. Scar tissue contains few pigmented cells and has a lighter color than normal skin.

Answer to Question 2

ANS: D
A clean surgical incision is an example of a wound with little loss of tissue that heals with primary intention. The skin edges are approximated or closed, and the risk for infection is low. Partial-thickness repairs are done on partial-thickness wounds that are shallow, involving loss of the epidermis and maybe partial loss of the dermis. These wounds heal by regeneration because the epidermis regenerates. Tertiary intention is seen when a wound is left open for several days, and then the wound edges are approximated. Wound closure is delayed until the risk of infection is resolved. A wound involving loss of tissue such as a burn or a pressure ulcer or laceration heals by secondary intention. The wound is left open until it becomes filled with scar tissue. It takes longer for a wound to heal by secondary intention; thus the chance of infection is greater.

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[juiceman1987]

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