Exam 39: Tissue and Wound Healing

The nurse is caring for four patients who have abdominal surgical wounds. Which patient in this surgical nurse's assignment does the nurse assess to be at greatest risk for wound dehiscence?

What characteristics would the nurse expect to assess in a patient with a keloid scar?

Which assessment findings would alert the nurse of an impending wound dehiscence on a patient with an abdominal incision on postoperative day 5?

What type of wound would the nurse expect to find in a patient who has a wound healing by primary intention?

In evaluating the effectiveness of negative pressure wound therapy in patients with high-risk surgical wounds, the nurse should expect:

Which nutritional deficiencies should the plan of care address to improve oxygen delivery and wound healing in the patient with a pressure ulcer?

Which finding would the nurse expect when assessing a patient with a hypertrophic scar following second degree burns?

When assessing a wound in the remodeling phase of healing, the nurse would expect to find:

Which instruction should be included in the teaching plan for a patient with a chronic wound?

Which finding would the nurse expect when assessing a full thickness wound?

In formulating a plan of care for a patient with colon cancer who will be having a colon resection, which local factor should the nurse recognize as affecting wound healing?

The nurse is providing discharge instructions to a patient with multiple lacerations and puncture wounds following a motor vehicle accident. Which statement by the patient indicates an understanding of the instructions?

The nurse is reviewing the medication list of a patient with impaired wound healing. Which medication would be of concern to the nurse?

Following change-of-shift report, the nurse on a surgical unit is reviewing the assignment. Which 70-year-old patient does the nurse assess as being at greatest risk for impeded wound healing?

Which response by a parent of a 24-week-old fetus undergoing intrauterine surgery indicates that the parent understands fetal wound healing?

The nurse in preadmission testing is taking a health history from a patient who will be having an elective hysterectomy. Which vitamin deficiency should be addressed before surgery to ensure proper blood clotting during surgery?

When assessing a patient's skin, the nurse needs to keep in mind that:

When changing the dressing on a wound healing by secondary intention, what finding would the nurse expect to observe?

When assessing a patient's skin, which of the following characteristics of skin should the nurse keep in mind?

When assessing a surgical wound healing by tertiary intention, the nurse expects granulation tissue to begin to appear during which time period?