The 10-year-old child is admitted to the hospital following an accident at school that resulted in a puncture wound of the abdomen. Two days after the injury, the child continues in the inflammation phase of healing. What would the nurse expect to see while changing the child's dressing and assessing the wound?
1. The wound is contracting, and the edges are growing together.
2. A blood clot has formed, sealing the wound.
3. Epithelial cells are growing into the wound.
4. The wound is pale and weepy.
2
Explanation:
1. Wound contraction and inward movement of the wound edge occur during the reconstruction phase of wound healing.
2. Clot formation to seal the wound with fibrin and trapped cells and platelets occurs during the inflammation phase of wound healing, in the first 3 to 5 days.
3. Epithelial cells growing into the wound occurs in the reconstruction phase of wound healing.
4. During the initial phase of healing, there is increased blood flow, giving the area an "inflamed" appearance.
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