The nurse is providing care to a patient with a stage III pressure ulcer. This wound is most likely going to heal by
1. primary intention.
2. secondary intention.
3. tertiary intention.
4. epithelialization.
2
Rationale: Wounds healing by secondary intention include open abdominal wounds, dehisced sternal wounds, and stages III and IV pressure ulcers. Clean lacerations and most surgical incisions are closed using primary intention. Tertiary intention is a method of wound closure that uses a combination of primary and secondary intention. The wound is left open for a short period of time, usually a few days, to allow edema and exudate to resolve. The wound is packed with dressings that are changed to remove any debris and is closed later by primary intention. Epithelialization is the migration of epithelial cells across the surface of a wound.
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