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
Pointing the device away while opening it is a safe practice to prevent contamination and accidental exposure to bodily fluids.
Choice B rationale
Not touching the drainage spout with the hand is correct as it prevents contamination of the spout, which could lead to infection.
Choice C rationale
Compressing the device before closing it is part of the proper procedure to re-establish the vacuum within the drain, which is necessary for it to function correctly.
Choice D rationale
Using one alcohol wipe to clean both the spout and the plug is incorrect because each should be cleaned with a separate sterile wipe to prevent cross-contamination and maintain sterility.
Correct Answer is D
Explanation
Choice A rationale
While an abdominal binder may be helpful postoperatively, it is not the immediate intervention for a patient who feels that ‘something just let go’ after surgery.
Choice B rationale
Seating the patient in a nearby chair is not the best initial action as it may increase abdominal pressure and potentially worsen any underlying issue.
Choice C rationale
Instructing the patient to pant is not an appropriate response to a potential complication from surgery, such as dehiscence or evisceration.
Choice D rationale
The best initial action is to assist the patient into a supine position to minimize tension on the abdominal incision, reduce the risk of further injury, and assess the situation.
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