What type of wound heals by edges approximating with a suture?
Secondary intention.
Remodeling phase.
Primary intention.
Tertiary intention.
The Correct Answer is C
Choice A rationale
Healing by secondary intention occurs when a wound is left open and closes naturally through granulation tissue formation, contraction, and epithelialization. This process is typically for wounds that cannot be closed with sutures due to infection or other factors.
Choice B rationale
The remodeling phase is the final stage of the healing process where the wound strength increases and scar tissue forms. It is not a type of wound healing but rather a phase that can occur in both primary and secondary intention healing.
Choice C rationale
Primary intention healing is when the wound edges are brought together, typically with sutures, staples, or adhesive tape. This method minimizes scarring and speeds up the healing process, making it the preferred method for surgical incisions.
Choice D rationale
Tertiary intention, also known as delayed primary closure, involves initially leaving the wound open due to contamination or infection and then closing it surgically once it is clean. This is not the type of healing described in the question.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Hydrocolloid dressings are not designed to keep a wound dry; instead, they maintain a moist environment which is conducive to wound healing. They absorb exudate and form a gel, which promotes granulation and epithelialization.
Choice B rationale
The primary purpose of a hydrocolloid dressing is to remain in place for an extended period, typically up to 7 days. This minimizes disturbance to the wound, reduces the risk of infection, and maintains a moist healing environment.
Choice C rationale
While hydrocolloid dressings can help prevent bacterial growth due to their occlusive nature, their main function is not to destroy microorganisms. They provide a barrier against external contaminants and support autolytic debridement.
Choice D rationale
The main purpose of hydrocolloid dressings is to promote a moist healing environment. They contain gel-forming agents that absorb exudate and maintain a moist wound bed, which facilitates faster healing and reduced scar formation.
Correct Answer is C
Explanation
Choice A rationale
When administering a hot soak treatment, it is crucial to soak only the affected area to provide targeted heat therapy. This localized approach helps to increase blood flow, reduce pain, and promote healing in the specific area that requires treatment. Soaking only the affected area also minimizes the risk of overheating and potential burns to other parts of the body.
Choice B rationale
While positioning the patient comfortably is important for any treatment, it is not the most critical aspect of a hot soak treatment. Comfort should always be considered, but the primary goal of the hot soak is to apply heat to the affected area to aid in healing. Therefore, ensuring that only the affected area is soaked takes precedence over general patient comfort in this context.
Choice C rationale
Monitoring the temperature of the water is the most important aspect of a hot soak treatment. The water must be warm enough to be therapeutic but not so hot as to cause burns or discomfort. This ensures the treatment is both safe and effective1.
Choice D rationale
Checking the patient’s skin integrity is important, especially if the patient has a condition that affects skin sensitivity, such as diabetes. However, the immediate concern during a hot soak treatment is to monitor the temperature to prevent injury.
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