A nurse in a long-term care facility is caring for a client who had abdominal surgery 6 weeks ago.
Which of the following images indicates the client's wound is healing by primary intention?

The wound has edges that are well-approximated.

The wound shows signs of granulation tissue formation.

The wound has a scab covering the surface.

The wound is oozing serous drainage.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Healing by primary intention occurs when wound edges are approximated, promoting direct tissue regeneration. This process minimizes scarring and involves epithelial cell migration and collagen synthesis.

Choice B rationale

Granulation tissue formation is characteristic of secondary intention healing. In this method, wounds heal from the base upward, requiring granulation tissue to fill the wound bed before epithelialization occurs.

Choice C rationale

Scab formation indicates that healing is in progress but does not specifically represent primary intention. Scabs form during secondary or tertiary healing phases to protect the underlying tissue.

Choice D rationale

Serous drainage is associated with the inflammatory phase of wound healing and does not signify primary intention. Excessive drainage may indicate impaired healing or infection.

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Correct Answer is C

Explanation

Choice A rationale

Palm oil is high in saturated fats, which contribute to an increase in low-density lipoprotein (LDL) cholesterol levels. Elevated LDL levels are a risk factor for atherosclerosis, making palm oil unsuitable for lowering fat and cholesterol.

Choice B rationale

Two-percent milk contains a significant amount of saturated fats. Consuming it can lead to increased LDL cholesterol levels, which are detrimental for individuals with atherosclerosis aiming to lower fat and cholesterol in their diet.

Choice C rationale

Limiting meat portions to 3 ounces per meal is consistent with dietary guidelines for controlling fat intake. This practice helps decrease saturated fat consumption, thereby reducing LDL cholesterol and lowering the risk of worsening atherosclerosis.

Choice D rationale

Trans fats are known to increase LDL cholesterol and decrease high-density lipoprotein (HDL) cholesterol levels, leading to a higher risk of cardiovascular disease. Limiting baked goods to those containing trans fats does not align with recommendations to avoid trans fats altogether.

A. Set the indoor temperature at 17°C (64°F). B. Eat low-carbohydrate meals and snacks. C. Cover the head when sleeping at night. D. Wear a single layer of warm clothing.

Correct Answer is C

Explanation

Choice A rationale

Setting the indoor temperature at 17°C (64°F) is too low for older adults, increasing their risk for hypothermia. A higher indoor temperature is recommended for safety.

Choice B rationale

Low-carbohydrate diets are not ideal in preventing hypothermia. Carbohydrates are essential for energy production and thermoregulation, especially in colder weather.

Choice C rationale

Covering the head is critical as significant heat loss occurs through the head. This practice helps conserve body heat during colder temperatures.

Choice D rationale

Wearing a single layer is insufficient for retaining body heat in winter. Layering clothing provides insulation by trapping warm air, which helps prevent hypothermia. .

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A nurse in a long-term care facility is caring for a client who had abdominal surgery 6 weeks ago.Which of the following images indicates the client's wound is healing by primary intention?

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A nurse in a long-term care facility is caring for a client who had abdominal surgery 6 weeks ago.
Which of the following images indicates the client's wound is healing by primary intention?