A patient with several burn scars tells the nurse that the skin on the scars is prone to tearing which doesn't seem as tough as the rest of his skin. Which of the following should the nurse respond to this patient?

1. the healing process hasn't been completed
2. even when healed, the scar will regain about 80% of the strength of normal skin.
3. the body is trying to remove additional bacteria from the wound area
4. the body is still making new blood vessels for the wound


2

Rationale: Remodeling/maturation is the final repair process and can last months to years. The final product of remodeling is the scar, which has covered the defect and restored the protective barrier against the external environment. Even when the wound is completely healed, only about 80% of the tensile strength of normal skin is regained and the patient is at risk for recurrent breakdown. This is what the nurse should respond to the patient. A scar occurs after the healing process. The body is not trying to remove additional bacteria from the wound. And, the body is not making new blood vessels for the wound.

Nursing

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