You are the nurse in the emergency department (ED). You are caring for a man who has returned to the ED after receiving ten stitches for a knife wound while cleaning fish
The wound is now infected, the stitches were removed, and the wound is cleaned and packed with gauze. The ED doctor plans to have the man return tomorrow to remove the packing and resuture the wound. You are aware that the wound will now heal by what?
A) Late intention
B) Second intention
C) Third intention
D) First intention
Ans: C
Feedback: Third-intention healing or secondary suture is used for deep wounds that either had not been sutured early or that had the suture break down and are resutured later, which is what happened in this case. Secondary suture brings the two opposing granulation surfaces back together; however, this usually results in a deeper and wider scar. These wounds are also packed postoperatively with moist gauze and covered with a dry sterile dressing. Option A is incorrect; late intention is a term that sounds good but is used simply to distract the unsure test-taker. Option B is incorrect; second intention is when the wound is left open and the wound is filled will granular tissue. Option D is incorrect; first intention wounds are wounds made aseptically with a minimum of tissue destruction.
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