Which does the nurse expect to observe during the inflammatory stage of wound healing? (Select all that apply.)

Question

1. Closure of the wound edges
2. Increased edema and redness
3. Increased capillary formation
4. Blood clotting for hemostasis
5. Duplication of epithelial cells
6. Collagen deposition at the site

Answer 1

2, 4
2 and 4. During the inflammatory phase of wound healing, the nurse expects to ob-serve edema and redness as white blood cells arrive at the site to remove cellular de-bris and protect the client from invading microorganisms. In addition, the nurse ex-pects to observe hemostasis as the body promotes blood clotting to stop the bleeding.
1. The wound closes in the remodeling phase of wound healing.
3, 5, and 6. In the proliferative or second phase of wound healing, the nurse expects to observe collagen synthesis, creation of granular tissue formation, contraction of the wound, and epithelialization. Angiogenesis also occurs in the proliferative phase; however, the nurse potentially is unable to observe the formation of new capillaries.