The nurse is caring for a patient in the burn unit. Which type of wound healing will the nurse consider when planning care for this patient?
a. Partial-thickness repair
b. Secondary intention
c. Tertiary intention
d. Primary intention
ANS: B
A wound involving loss of tissue such as a burn or a pressure ulcer or laceration heals by secondary intention. The wound is left open until it becomes filled with scar tissue. It takes longer for a wound to heal by secondary intention; thus the chance of infection is greater. A clean surgical incision is an example of a wound with little loss of tissue that heals by primary intention. The skin edges are approximated or closed, and the risk for infection is low. Partial-thickness repair is done on partial-thickness wounds that are shallow, involving loss of the epidermis and maybe partial loss of the dermis. These wounds heal by regeneration because the epidermis regenerates. Tertiary intention is seen when a wound is left open for several days, and then the wound edges are approximated. Wound closure is delayed until the risk of infection is resolved.
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The nurse performs which action in order to reduce the risk of a needlestick injury?
1. Recapping the needle before discarding it after injecting the client 2. Breaking the needle in half before discarding the used needle 3. Using safety needles completely prevents the risk of needlestick injury 4. Immediately discarding the needle as soon as withdrawing it from the client
A nurse is assessing a client after administering a diuretic. Which of the following would lead the nurse to suspect that the client is experiencing a fluid and electrolyte imbalance? Select all that apply
A) Dry mouth B) Diaphoresis C) Muscle cramps D) Hypertension E) Tachycardia
A nurse works with young adults, all assigned to the same shift in a manufacturing plant. There have been several episodes of discussion regarding working schedules over the holidays
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