A patient who has undergone a colectomy is demonstrating wound healing. The nurse correctly identifies the wound phase characterized by synthesis of collagen fibers as which of the following?
a. Proliferative phase
b. Inflammation phase
c. Hemostasis phase
d. Secondary intention phase
A
The proliferative phase, in wound healing by primary intention, causes new capillary networks to form that provide oxygen and nutrients for new tissue and contribute to the synthesis of collagen. In the inflammation phase the goal is to establish a clean wound bed and obtain bacterial balance. If exudate brings white blood cells to the area, a scab will form. When wounds involve loss of tissue, such as a severe laceration or chronic wound, these heal by secondary intention. Hemostasis phase controls bleeding.
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