The nurse knows the following types of wounds heal by tertiary intention:
a. An acute wound in which the patient has sutures placed when it happened
b. A pressure ulcer that was treated with dressing changes and healed
c. An acute wound in which surgical glue was used to close the wound
d. A wound that was left open initially and closed later with sutures
ANS: D
When a delay occurs between injury and closure, the wound healing is said to happen by tertiary intention. Wounds such as surgical incisions or traumatic wounds in which the edges of the wound can be approximated (brought together) to heal are examples of acute wounds. This type of wound is said to heal by primary intention. When a wound heals by secondary intention, new tissue must fill in from the bottom and sides of the wound until the wound bed is filled with new tissue such as a pressure ulcer.
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