*NURSING > QUESTIONS & ANSWERS > Chapter 38: Providing Wound Care and Treating Pressure Ulcers Williams: deWit's Fundamental Concepts (All)

Chapter 38: Providing Wound Care and Treating Pressure Ulcers Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition Mission CollegeNURSING 022c38

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Chapter 38: Providing Wound Care and Treating Pressure Ulcers Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition MULTIPLE CHOICE 1. The nurse clarifies that the first stage ... of wound healing is: a. proliferation. b. maturation. c. reconstruction. d. inflammation. ANS: D Inflammation is the first stage of wound healing, followed by the proliferation, maturation, and reconstruction stages. DIF: Cognitive Level: Knowledge REF: p. 761 OBJ: Theory #1 TOP: Inflammatory Process KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation 2. The nurse is taking care of a postsurgical patient and notes the incision is clean and dry, with sutures intact. The nurse further assesses that the wound is healing by: a. fourth intention. b. third intention. c. second intention. d. first intention. ANS: D A wound with minimal tissue loss, such as a surgical incision, heals by closure, which is first, or primary, intention. Wounds that are not closed heal by either second (secondary) or third (tertiary) intention. DIF: Cognitive Level: Comprehension REF: p. 762 OBJ: Theory #1 TOP: Wound Healing Stages KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: Physiological Adaptation 3. The nurse gives an example of a wound that heals by second (secondary) intention as a: a. laceration with edges that do not approximate. b. surgical incision closed with staples. c. chest wound left open for a closed system. d. puncture wound sutured with silk suture. ANS: A A secondary intention healing occurs when there is a jagged wound whose edges do not approximate. DIF: Cognitive Level: Comprehension REF: p. 762 OBJ: Theory #1 TOP: Wound Types KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation [Show More]

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