A nurse is assessing a client who has a wound that is healing by first intention. Which of the following findings should the nurse expect?

Skin edges of the wound are sutured closed.

Wound is contaminated at the time of injury.

Granulation tissue forming at the bottom of the wound bed.

Healing of the wound is prolonged.

Answer and Explanation

The Correct Answer is A

Choice A rationale: Wound healing by first intention involves the approximation of wound edges, often closed with sutures or staples, resulting in minimal scar formation.
Choice B rationale: Contamination at the time of injury is not characteristic of wounds healing by first intention.
Choice C rationale: Granulation tissue forming at the bottom of the wound bed is characteristic of wounds healing by second intention, not first intention.
Choice D rationale: Healing of the wound is typically quicker and involves less scarring in wounds healing by first intention compared to second intention.

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Correct Answer is A

Explanation

Choice A rationale: If the client's skin becomes red, the heat application should be stopped to prevent burns or skin damage.
Choice B rationale: Heat applications are generally recommended for 20-30 minutes, not at least 40 minutes, to avoid skin damage.
Choice C rationale: Safety pins should not be used to keep the heating pad in place, as they can damage the pad or cause injury to the client.
Choice D rationale: The temperature of the heating pad should be set to a comfortable and safe level, typically below 42.2° C (108° F).

A. Extension B. Adduction C. Circumduction D. Abduction

Correct Answer is B

Explanation

Choice A rationale: Extension is the movement of a body part away from the midline.
Choice B rationale: Adduction is the movement of a body part toward the midline.
Choice C rationale: Circumduction is the circular movement at the joint.
Choice D rationale: Abduction is the movement of a body part away from the midline.

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A nurse is assessing a client who has a wound that is healing by first intention. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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