A 28-year-old male patient at your clinic reports a minor motorcycle accident that occurred 5 days ago, resulting in several scrapes and wounds. The wound on his calf has a pinkish-red center area that appears bumpy. What does this indicate about the wound?

Choice A rationale
A Stage 1 pressure injury is characterized by intact skin with non-blanchable redness of a localized area, usually over a bony prominence. The presence of pain and redness that does not blanch when pressure is applied are indicative of this early stage of pressure injury.

Choice B rationale
Stage 2 pressure injuries involve partial-thickness loss of dermis and present as a shallow open ulcer with a red-pink wound bed, without slough. This does not match the description of the patient’s condition, which indicates intact skin.

Choice C rationale
Stage 3 pressure injuries are defined by full-thickness tissue loss where subcutaneous fat may be visible, but bone, tendon, or muscle are not exposed. The patient’s symptoms do not suggest such an advanced stage.

Choice D rationale
Stage 4 pressure injuries involve full-thickness tissue loss with exposed bone, tendon, or muscle. Since the patient’s skin is intact and only red, this stage does not apply.

Choice A rationale
Healing by second intention occurs when a wound is left open and allowed to close by granulation, epithelialization, and contraction. This method is used for wounds that are infected, have lost tissue, or where there is a delay in suturing. It is not applicable in this case as the wound is sutured and healing cleanly.

Choice B rationale
There is no recognized method of wound healing known as fourth intention. This option does not exist in medical terminology related to wound healing and is therefore not a correct choice.

Choice C rationale
Third intention, also known as delayed primary closure, is when a wound is initially left open due to contamination or infection and is not closed until it is clean. This is not the case here as the wound has been sutured closed from the beginning.

Choice D rationale
First intention, also known as primary intention, is when a clean wound is immediately closed with sutures, staples, or adhesive, leading to minimal scarring. This is the method described in the scenario, where the post-surgical wound is clean, dry, and the sutures are intact, indicating healing by first intention. This method is typically used for surgical incisions under sterile conditions.