Author Question: Upon assessment of a client's wound, the nurse notes the formation of granulation tissue. The tissue ... (Read 178 times)

nummyann

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Upon assessment of a client's wound, the nurse notes the formation of granulation tissue. The tissue easily bleeds when the nurse performs wound care. What is the phase of wound healing characterized by the nurse's assessment?
 
  A) Proliferation phase
  B) Hemostasis
  C) Inflammatory phase
  D) Maturation phase

Question 2

A client is admitted to the health care facility with a diagnosis of pediculosis capitis. Which of the following would the nurse expect to find in the client?
 
  A) Diffuse scaling of the epidermis
  B) Itching and flaking of whitish scales
  C) Premature loss of hair
  D) Inflammation related to bites along the hairline



Cnarkel

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Answer to Question 1

Ans: A
The proliferation phase is characterized by the formation of granulation tissue (highly vascular, red tissue that bleeds easily). During the proliferation phase, new tissue is built to fill the wound space. Hemostasis involves the constriction of blood vessels and the beginning of blood clotting immediately after the initial injury. The inflammatory phase lasts about four to six days, and white blood cells and macrophages move to the wound. The maturation phase is the final phase of wound healing and involves remodeling of collagen that was haphazardly deposited in the wound; in addition, a scar forms.

Answer to Question 2

Ans: D
The nurse would find inflamed bites along the hairline in the client with pediculosis infestation. Diffuse scaling of the epidermis with itching and flaking of whitish scales is seen in clients who have dandruff. Hair loss is not a manifestation of pediculosis capitis.



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