A patient with a contaminated abdominal wound from a motor vehicle accident is being considered for tertiary intention healing. What is the primary reason for choosing this method?
To promote immediate granulation tissue formation.
To ensure no scar formation occurs.
To decrease the risk of infection before closure.
To accelerate the healing process immediately.
The Correct Answer is C
A. To promote immediate granulation tissue formation: Granulation tissue formation takes time. Tertiary intention is chosen to allow the wound to first develop healthy granulation tissue while being left open to prevent infection.
B. To ensure no scar formation occurs: Scarring will occur with tertiary intention because the wound edges are surgically brought together later, forming a larger, wider scar than primary intention. Only primary intention aims for minimal scar.
C. To decrease the risk of infection before closure: Tertiary intention is specifically chosen for wounds that are contaminated (like a traumatic accident wound) or infected. The wound is left open initially to allow for daily inspection, cleansing, and drainage, which dramatically decreases the bacterial load and risk of deep infection. Once the wound appears clean and healthy (granulating), it is surgically closed.
D. To accelerate the healing process immediately: Tertiary intention is slower than primary intention, which is immediate closure. The delay is necessary to ensure safety and prevent major infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Sanguineous drainage: Sanguineous drainage is fresh, bright red blood.
B. Serosanguineous drainage: Serosanguineous drainage is a mixture of serous fluid (pale, watery) and sanguineous fluid (blood), resulting in a thin, watery, pale pink or light red color. This is a common, normal finding in the inflammatory and proliferative phases of healing.
C. Purulent drainage: Purulent drainage is thick, opaque, and colored (yellow, green, or brown) with a foul odor, indicative of infection.
D. Serous drainage: Serous drainage is clear, thin, and watery, like plasma. The presence of a pink tint indicates blood, classifying it as serosanguineous.
Correct Answer is D
Explanation
A. High dietary protein intake: Adequate protein intake is essential for wound healing. High protein intake would generally be beneficial, not detrimental, to wound repair.
B. Regular exercise: Regular, appropriate exercise generally improves circulation and is beneficial for overall health and wound healing.
C. Excessive vitamin C: Vitamin C (ascorbic acid) is necessary for collagen synthesis and is generally beneficial for wound healing. Excessive intake is rarely a direct cause of wound ischemia.
D. Peripheral artery disease: Peripheral artery disease (PAD) is a common macrovascular complication of diabetes where blood vessels narrow, leading to severely reduced blood flow (ischemia) to the lower extremities. Without adequate perfusion, the wound cannot receive the oxygen, nutrients, and immune cells required for healing, making ischemia the most likely contributing factor to a non-healing diabetic foot ulcer.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.