A home care nurse is caring for a client who is recovering from recent surgical debridement that produced large amounts of exudate. The client's surgical wound has staples that are aiding in the wound healing
When documenting this client's care, which terminology best describes this client's care?
A) Primary intention healing
B) Secondary intention healing
C) Tertiary intention healing
D) Quaternary intention healing
Answer: C
A wound that permits exudate to drain and then is closed with sutures, staples, or adhesive skin closures undergoes tertiary intention healing. Primary intention healing occurs where the tissue surfaces have been approximated (closed) and there is minimal or no tissue loss. A wound that is extensive and involves considerable tissue loss and in which the edges cannot or should not be approximated heals by secondary intention healing. Quaternary intention healing does not exist.
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