The nurse clarifies that the second stage of wound healing is:

Proliferation

Maturation

Inflammation

Remodeling

Answer and Explanation

The Correct Answer is A

Choice A rationale
The second stage of wound healing is proliferation, which occurs after the initial hemostasis phase. During proliferation, the wound begins to be rebuilt with new, healthy granulation tissue. This tissue is rich in collagen, which forms a foundation for new tissue growth. Capillaries grow across the wound, bringing oxygen and nutrients that are essential for healing. New skin cells begin to form over this granulation tissue, which is a critical component of the healing process.

Choice B rationale
Maturation is the third and final stage of wound healing. It follows the proliferation stage and involves the remodeling of collagen, which strengthens the tissue and restores its normal function. During maturation, the new tissue slowly gains strength and flexibility. Here, the collagen fibers reorganize, the tissue remodels and contracts, and the healed wound becomes more resilient. This stage can take a long time, sometimes up to a year or more, depending on the wound’s severity and the patient’s overall health.

Choice C rationale
Inflammation is indeed the second stage of wound healing. It is a natural part of the healing process and involves controlling bleeding, preventing infection, and enabling the migration of healing cells to the wound area.

Choice D rationale
Remodeling is the last stage of wound healing, not the second. It occurs after the wound has closed and involves the long-term strengthening and formation of scar tissue.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale
An abrasion occurs when the skin is scraped off, usually due to a surface rubbing or scraping against the skin. It does not involve pooling of blood under the skin but rather an injury to the top layer of the skin.

Choice B rationale
An avulsion is a severe type of wound that occurs when a portion of the skin and sometimes the tissue beneath is partially or completely torn away. It is not characterized by pooling of blood under unbroken skin.

Choice C rationale
A laceration refers to a deep cut or tear in the skin or flesh. Because lacerations imply that the skin is broken and torn, it does not describe the condition where blood pools under unbroken skin.

Choice D rationale
A hematoma is a localized collection of blood outside the blood vessels, usually in liquid form within the tissue. This is the correct term for a pooling of blood under unbroken skin, as described in the scenario following the patient’s fall. Hematomas can be caused by injury, such as a fall, that causes blood vessels to break and bleed into the surrounding tissues.

A. Empty the reservoir. B. Notify the surgeon about the drainage. C. Remove the drain D. Leave it until the end of the shift

Correct Answer is A

Explanation

Choice A:

This is the correct choice. The Jackson-Pratt drain incorporates a flexible bulb that aspirates drainage from the wound by self-suction. When the reservoir is half full, the suction pressure is diminished. Thus it is appropriate to empty it and record the amount of drainage you discard.

Choice B:

While it's important to keep the surgeon informed about the patient's condition, in this case, the purpose of the Jackson-Pratt drain is to aspirate drainage, such as excess blood, from the wound. Many factors are involved in determining what an acceptable amount of drainage is; however, excessive blood loss that must be reported is likely to affect the patient's vital signs.

Choice C:

The surgeon determines when to remove the drain, and in most cases, a patent and functioning drain remains in place for a few days.

Choice D:

Leaving the reservoir half full until the end of the shift is not recommended. The suction pressure is diminished when the reservoir is half full, which could affect the drain's effectiveness.

View Question and Answer

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

The nurse clarifies that the second stage of wound healing is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has a pooling of blood under unbroken skin of the hip after a fall. The nurse should document that this patient has a/an:

Correct Answer is D

Explanation

While assessing the client’s abdomen, you note that the Jackson-Pratt drain’s reservoir is expanded and half full of blood. Which is the appropriate action for you to take at this time?

Correct Answer is A

Explanation

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?

A nurse is assessing a surgical patient for internal hemorrhage. Which of the following would indicate internal hemorrhage?

The nurse clarifies that the second stage of wound healing is:

The nurse places Dakin’s solution in a wound for which purpose?

The nurse is taking care of a post-surgical patient and notes the incision is clean and dry, with sutures intact. The nurse further assesses that the wound is healing by:

What safety factors should be considered when using an Aquathermia pad unit for a patient? (Select all that apply)

A patient is incontinent on the first day after surgery. This is a risk factor for the development of skin breakdown and infection primarily because:

A nurse performing a right eye irrigation will position the patient in which of the following ways?