While inspecting a pressure ulcer of a 90-year-old client, the nurse observes new tissue growth around the area, which is pinkish-red in color. The nurse documents the presence of:
A)
epithelialization.
B)
granulation.
C)
eschar.
D)
slough.
B
Explanation:
A)
The pinkish-red tissue is new tissue growth in the wound bed, called granulation tissue. Epithelialization is a process of new cell growth. Eschar appears as black or brown, dried and hardened necrotic tissue. Slough is the semiliquid white and yellow tissue seen in a wound bed.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
B)
The pinkish-red tissue is new tissue growth in the wound bed, called granulation tissue. Epithelialization is a process of new cell growth. Eschar appears as black or brown, dried and hardened necrotic tissue. Slough is the semiliquid white and yellow tissue seen in a wound bed.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
C)
The pinkish-red tissue is new tissue growth in the wound bed, called granulation tissue. Epithelialization is a process of new cell growth. Eschar appears as black or brown, dried and hardened necrotic tissue. Slough is the semiliquid white and yellow tissue seen in a wound bed.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
D)
The pinkish-red tissue is new tissue growth in the wound bed, called granulation tissue. Epithelialization is a process of new cell growth. Eschar appears as black or brown, dried and hardened necrotic tissue. Slough is the semiliquid white and yellow tissue seen in a wound bed.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
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