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.

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Correct Answer is C

Explanation

Choice A rationale

Filling the pack and refreezing it is part of preparing the ice pack but not a necessary step in the application process itself.

Choice B rationale

Covering the pack with plastic wrap is not recommended as it could potentially cause harm by trapping the cold and leading to frostbite.

Choice C rationale

Using a light cover, such as a thin towel, over the ice pack is necessary to protect the skin while still allowing the cold to reach the injured area effectively.

Choice D rationale

Using small ice cubes is a method to create an ice pack but does not pertain to the application process on the skin.

A. The moisture creates an environment suitable for the growth of microorganisms in a wound. B. Greater pressure is exerted by a wet bed. C. Shearing is more likely from wet sheets. D. The patient has to be repositioned for the bed to be changed.

Correct Answer is A

Explanation

Choice A rationale
Moisture from incontinence can compromise skin integrity and create a favorable environment for bacterial growth, increasing the risk of infection and skin breakdown.

Choice B rationale
While a wet bed may be uncomfortable, it does not exert greater pressure that would lead to skin breakdown or infection.

Choice C rationale
Shearing can occur from moving a patient on any surface; however, wet sheets do not inherently increase the likelihood of shearing.

Choice D rationale
Repositioning the patient is necessary for comfort and to prevent pressure ulcers, but it is not a direct cause of skin breakdown or infection due to incontinence.

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

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Naxlex Comprehensive Predictor Exams

When applying an ice pack, it is necessary to:

Correct Answer is C

Explanation

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:

Correct Answer is A

Explanation

When the patient complains of worsening due to increased swelling at the wound site on his leg, the nurse explains that the swelling indicates:

Which type of debridement is a hydrocolloid dressing used for?

When changing the dressing on the patient’s right arm, you see that the dressing has a moist yellow-red stain on it. How would you document this drainage?

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

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The nurse clarifies that a vacuum-assisted closure supports the healing of a wound by:

What is the physiological effect of moist heat on the treated area?