Question

8. The nurse is assessing the wounds of patients in a burn unit. Which wound would most likely heal by primary intention? a. A surgical incision with sutured approximated edges b. A large wound with considerable tissue loss allowed to heal naturally C. A wound left open for several days to allow edema to subside d. A wound healing naturally that becomes infected 9. The nurse is assessing the wounds of patients. Which patients would the nurse place at risk for delayed wound healing? Select all that apply a. An older patient who is bedridden b. A patient with a peripheral vascular disorder C. A patient who is obese d. A patient who eats a diet high in vitamins A and C e. A patient who is taking corticosteroid drugs f. A 10-year-old boy with a surgical wound 10. Which teaching points would the nurse use to explain the development of pressure ulces to patient and how to prevent them? Select all that apply a. "Pressure ulcers usually occur over bony prominences where body weight is distributed over a small area without much subcutaneous tissue" b. "Most pressure ulcers occur over the trochanter and calcaneus" c. "Generally, a pressure ulcer will not appear within the first 2 days in a person who has not moved for an extended period of time" d. "The major predisposing factor for a pressure ulcer is internal pressure over an area, resulting in occluded blood capillaries and poor circulation to the tissues." e. "The skin can tolerate considerable pressure without cell death, but for short periods only." f. "The duration of pressure, compared to the amount of pressure plays a larger role in the pressure ulcer formation."

Answer 1

8. The nurse is assessing the wounds of patients in a burn unit, A surgical incision with sutured approximated edges is most likely to heal by primary intention.

Its because surgical wounds are less infected, they are done by taking aseptic measures. In this case, this surgical wound is short and sutured so there is a great chance that it will heal by primary intention.

Answer - a. A surgical incision with sutured approximated edges

9. The nurse is assessing the wounds of patients,

the nurse will place at risk for delayed wound healing in....

a. An older patient who is bedridden (There is an increased chance of pressure sore and delayed wound healing in bedridden patients)

b. A patient with a peripheral vascular disorder (In peripheral vascular disorder there is lack of blood supply to injury area which slow the process of healing)

c. A patient who is obese (Obesity is often associated with hyperglycemia so, there is a chance of delayed wound healing)

Answer - a. b. c.

9. The nurse should explain the development of pressure ulcers and its prevention by below teaching points.....

a. pressure ulcer usually occurs in bony prominence where body weight is distributed over a small area without much subcutaneous tissue.

d. The major predisposing factor for pressure ulcers is internal pressure over an area resulting in occluded blood capillaries and poor circulation to the tissue.

e. the skin can tolerate considerable pressure without cell death, but for a short period only.

Answer - a. d. e.