The nurse would assess that granulation tissue is developing in a wound when noting which characteristics? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Beefy red color
2. Blue-gray tinge to the wound bed
3. Small, round nodules in the wound bed
4. Pearly-appearing wound margins
5. Moist tissue
1,3,5
Rationale 1: Granulation tissue appears beefy red.
Rationale 2: Granulation tissue should not have a blue-gray tinge.
Rationale 3: Granulation tissue, so named for its characteristic tiny, round, granule-like nodules, is a highly vascular connective tissue that contains newly formed capillaries, proliferating fibroblasts, and residual inflammatory cells.
Rationale 4: Pearl-like wound margins indicate that epithelialization is occurring.
Rationale 5: Granulation tissue is moist.
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Indicate whether the statement is true or false.