What type of wound would the nurse expect to find in a patient who has a wound healing by primary intention?
A) A surgical wound with a large amount of exudate
B) A large abraded area that is infected
C) A pressure ulcer with pink granulation tissue in the wound bed
D) A surgical wound that is clean and well-approximated
D) A surgical wound that is clean and well-approximated
Explanation: A) Wound healing by secondary intention (secondary or spontaneous closure) occurs when a full thickness wound is allowed to heal without closure. Reasons for leaving a wound open include the following: the size of the tissue injury or the wide irregular wound margins prevent approximation of the wound edges, a large amount of exudate is present, or infection, tissue necrosis, or contamination of the wound is present.
B) Abrasions and wounds with infection, tissue necrosis, or contamination of the wound usually heal by secondary intention.
C) Pressure ulcers heal by secondary intention because the size of the tissue injury or the wide irregular wound margins prevent approximation of the wound edges.
D) Wound healing by primary intention (primary closure) typically occurs after surgical closure of a wound. It may also occur in wounds that involve minimal loss of tissue, that are not infected or contaminated, and in which the edges of the wound can be approximated and closed.
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A nurse cares for a client with autosomal dominant polycystic kidney disease (ADPKD). The client asks, "Will my children develop this disease?" How should the nurse respond?
a. "No genetic link is known, so your children are not at increased risk." b. "Your sons will develop this disease because it has a sex-linked gene." c. "Only if both you and your spouse are carriers of this disease." d. "Each of your children has a 50% risk of having ADPKD."
The hospital operator announced over the paging system, "Dr. Strong, fourth floor, A-wing, Dr. Strong, fourth floor, A-wing." A newly hired nurse asks another nurse, "Who is Dr
Strong?" The nurse replies, "This is the announcement that alerts security there is violent behavior on that unit." Which statement would be an appropriate report to this unit's manager? 1. "Our new nurse does not know what ‘Dr. Strong' means." 2. "There was an incident in which a staff person did not know what ‘Dr. Strong' meant. Could we have an in-service on this policy?" 3. "The operator paged a ‘Dr. Strong' and we didn't know what to do." 4. "Why do they use ‘Dr. Strong' when there is trouble? They should just call for help."
What is the primary rationale for the assessment of patients' personal values?
1. Patients' values should be congruent with nurses' values. 2. Health behaviors are strongly influenced by personal values. 3. Personal values regarding health are universal across all cultures. 4. Personal values form the scientific rationale for health behaviors.
Place the necessary steps for the removal of a patient's contact lenses in the correct order (1–6). (Enter the number of each step in the proper sequence, do not use commas)
1. Hard lenses will pop out between your fingers. Soft lenses will wrinkle off the eye, and you can grasp them with your fingers. 2. Fill the wells, covering the lenses with saline or special soaking solution according to the patient's routine. 3. Pull down on the lower lid and place one finger across the top of the upper lid, applying gentle but firm pressure. 4. Wash your hands and put on gloves. 5. Hold the lens gently and carefully while you place it in the appropriate well of the lens case, either left or right. 6. Ask the patient to blink.