When caring for a client with an open wound, which of the following characteristics would the nurse observe if the wound heals by first intention?
A) Wound edges are directly next to each other.
B) Granulation tissue needs additional time to extend across the wound.
C) Wound edges have to be brought together with closure material.
D) Drainage devices have to be used to promote quick healing.
A
Feedback:
If the wound is to heal by first intention, then the wound edges are directly next to each other. Because the space between the wound edges is so narrow, only a small amount of scar tissue forms. If the wound edges are widely separated, leading to a more time-consuming and complex reparative process, then it is described as healing by second intention. With third-intention healing, the wound edges are widely separated and are later brought together with some type of closure material; the wounds may require a drainage device to promote quick healing.
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