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 C
Explanation
Choice A rationale
Numbing the area treated is not a primary physiological effect of moist heat. Moist heat therapy works by increasing the temperature of the skin and underlying tissues, which does not directly numb the area but can lead to an increased pain threshold.
Choice B rationale
Drawing fluid to the site of application is not a physiological effect of moist heat. While moist heat can increase local circulation, it does not specifically draw fluids to the application site³.
Choice C rationale
Dilating the blood vessels is a key physiological effect of moist heat. The increased temperature from the heat application causes vasodilation, which increases blood flow to the area, promoting healing and reducing muscle spasm⁴.
Choice D rationale
Constricting the blood vessels is not a physiological effect of moist heat. In fact, the opposite occurs; moist heat causes vasodilation, not vasoconstriction.
Correct Answer is A
Explanation
Choice A rationale
The High-Fowler’s position, with the client sitting upright at a 90-degree angle, is ideal for abdominal wound irrigation as it reduces the risk of fluid accumulation in the wound area and promotes drainage.
Choice B rationale
The side-lying position is not typically used for abdominal wound irrigation because it can cause pooling of the irrigation solution and does not facilitate easy access to the wound site.
Choice C rationale
The supine position, with the client lying flat on their back, is not suitable for abdominal wound irrigation as it can lead to fluid retention in the wound and does not aid in drainage.
Choice D rationale
The dorsal recumbent position, with the client lying on their back with knees bent, is also not optimal for abdominal wound irrigation due to the potential for fluid to collect in the wound area.
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