Exam 46: Skin Integrity and Wound Care

Which nursing observation would indicate that a wound healed by secondary intention?

The nurse is caring for a patient who has undergone a laparoscopic appendectomy.The nurse recalls that this type of wound heals by which process?

The wound care nurse visits a patient in the long-term care unit.The nurse is monitoring a patient with a stage 3 pressure injury.The wound seems to be healing,and healthy tissue is observed.How would the nurse stage this pressure injury?

The nurse is caring for a patient with a large abrasion from a motorcycle accident.The nurse recalls that if the wound is kept moist,it can resurface in how long?

The nurse is caring for a patient on the medical-surgical unit with a wound that has a drain and a dressing that needs changing.Which of these actions should the nurse take first?

The nurse is caring for a patient who is at risk for skin impairment.The patient is able to sit up in a chair.The nurse includes this intervention in the plan of care.How long should the nurse schedule the patient to sit in the chair?