When changing the dressing on a wound healing by secondary intention, what finding would the nurse expect to observe?
A) An incision closed by sutures
B) A clean incision
C) Minimal granulation tissue
D) A large amount of exudate
D) A large amount of exudate
Explanation: A) Closure of wounds by primary intention can be achieved by suture, staple, butterfly closure, or fibrin glue, which is a type of "superglue" for the skin.
B) Wounds that that heal by primary intention involve minimal loss of tissue, that are not infected or contaminated, and in which the edges of the wound can be approximated and closed.
C) As the body attempts to close a wound by secondary intention, a large amount of granulation tissue is generated.
D) Wound healing by secondary intention (secondary or spontaneous closure) occurs when a full thickness wound is allowed to heal without a closure attempt. A wound may be left open to heal by secondary intention when a large amount of exudate is present.
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