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:
Second intention.
Fourth intention.
Third intention.
First intention.
The Correct Answer is D
Choice A rationale
Healing by second intention occurs when a wound is left open and allowed to close by granulation, epithelialization, and contraction. This method is used for wounds that are infected, have lost tissue, or where there is a delay in suturing. It is not applicable in this case as the wound is sutured and healing cleanly.
Choice B rationale
There is no recognized method of wound healing known as fourth intention. This option does not exist in medical terminology related to wound healing and is therefore not a correct choice.
Choice C rationale
Third intention, also known as delayed primary closure, is when a wound is initially left open due to contamination or infection and is not closed until it is clean. This is not the case here as the wound has been sutured closed from the beginning.
Choice D rationale
First intention, also known as primary intention, is when a clean wound is immediately closed with sutures, staples, or adhesive, leading to minimal scarring. This is the method described in the scenario, where the post-surgical wound is clean, dry, and the sutures are intact, indicating healing by first intention. This method is typically used for surgical incisions under sterile conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Abdominal pads are generally used for absorption and are not specifically designed to minimize pain during dressing changes.
Choice B rationale
Hydrogel dressings provide moisture to the wound, which can facilitate autolytic debridement and reduce pain during dressing changes. They are cooling and soothing, which can be comfortable for the patient.
Choice C rationale
Wet-to-dry dressings are used for mechanical debridement and can be painful when removed, as they may adhere to the wound bed and pull on new tissue.
Choice D rationale
Dry gauze can adhere to the wound and cause pain upon removal, similar to wet-to-dry dressings, and is not the best choice for minimizing pain.
Correct Answer is C
Explanation
Choice A rationale
Dry gauze is absorbent, but it is not the best option for promoting hemostasis in a heavily draining wound. It may adhere to the wound bed, causing pain and potential damage when removed.
Choice B rationale
Transparent dressings allow for easy monitoring of the wound but do not provide the necessary absorption for heavy drainage. They are also not specifically designed to promote hemostasis.
Choice C rationale
Alginate dressings are made from seaweed derivatives and are highly absorbent, which makes them suitable for wounds with heavy drainage. They also help to promote hemostasis by assisting with blood clot formation, making them an appropriate choice for this scenario.
Choice D rationale
Hydrogel dressings provide moisture to the wound and promote autolytic debridement but are not the best choice for heavy drainage. They do not have the absorptive capacity needed for a wound that is actively bleeding.
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