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GoNursingTestBanks.com - Nursing Test Banks Questions and Correct Answers the Latest Update

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An obese patient on the unit has demonstrated difficulty healing a large pressure ulcer. The nurse correctly recognizes that this is most likely because of which of the following factors? 1. The patient's size limits his activity level. A) Adipose tissue is poorly vascularized. B) Obes...

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  • October 26, 2024
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GoNursingTestBanks.com - Nursing
Test Banks Questions and Correct
Answers the Latest Update
An obese patient on the unit has demonstrated difficulty healing a large

pressure ulcer. The nurse correctly recognizes that this is most likely because of

which of the following factors?

✓ 1.



The patient's size limits his activity level.

✓ A)



Adipose tissue is poorly vascularized.

✓ B)



Obesity is linked to impaired white blood cell function.

✓ C)



The amount of tissue needing healing will increase the amount of time needed

to adequately heal the wound.

✓ D)



B



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✓ Ans:



Feedback:





Wound healing may be decreased in obese patients. Because adipose tissue is

relatively avascular, it provides only a weak defense against microbial invasion

and impairs delivery of nutrients to the wound.





A patient has been admitted to the acute care unit after surgery to debride an

infected skin ulceration. The surgeon reports plans to leave the wound open to

promote drainage and later close it. This represents what type of wound

healing?

✓ 2.



Primary intention

✓ A)



Secondary intention

✓ B)



Tertiary intention

✓ C)

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Quadratic intention

✓ D)



C

✓ Ans:



Feedback:





Healing by tertiary intention occurs when a delay ensues between injury and

wound closure. This type of healing also is referred to as delayed primary

closure. It may happen when a deep wound is not sutured immediately or is

purposely left open until there is no sign of infection and then closed with

sutures. Wounds with minimal tissue loss, such as clean surgical incisions or

shallow sutured wounds, heal by primary intention. The edges of the primary

wound are approximated or lightly pulled together. Wounds with full-thickness

tissue loss, such as deep lacerations, burns, and pressure ulcers, have edges that

do not readily approximate. They heal by secondary intention. The open wound

gradually fills with granulation tissue.





The nurse is caring for a patient who has reported to the Emergency

Department with a steam burn to the right forearm. The burn is pink and has

small blisters. The burn is most likely which of the following?


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✓ 3.



First degree

✓ A)



Second degree

✓ B)



Third degree

✓ C)



Fourth degree

✓ D)



B

✓ Ans:



Feedback:





Partial-thickness burns may be superficial or moderate to deep. A superficial

partial-thickness burn (first degree; epidermal) is pinkish or red with no

blistering; a mild sunburn is a good example. Moderate to deep partial-thickness

burns (second degree; dermal or deep dermal) may be pink, red, pale ivory, or


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