A patient, recovering from spinal surgery, has steri-strips over the wound. The nurse realizes that this patient's wound is going to heal by
1. primary intention.
2. secondary intention.
3. tertiary intention.
4. angiogenesis.
1
Rationale: Primary intention refers to closing the wound by mechanical means. This method is used when there is minimal tissue loss and skin edges are well approximated. Clean lacerations and most surgical incisions are closed using primary intention. Mechanical means used to close wounds include tape, sutures, staples, steri-strips, or glue. Secondary intention healing occurs gradually and uses the biological phases of wound healing to fill in the cavity or defect. These wounds require significantly more time to heal than do wounds healing by primary intention. The time to wound closure is determined by the rate of wound contraction and depth of tissue loss. Tertiary intention is a method of wound closure that uses a combination of primary and secondary intention. Angiogenesis is the creation of new blood cells in the bed of a wound.
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