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A patient has a wound that was left open due to infection and is now being surgically closed after granulation tissue has developed. What type of healing is this?
A patient has a wound that was left open due to infection and is now being surgically closed after granulation tissue has developed. What type of healing is this?
Which nursing intervention is most effective in promoting wound healing?
Which nursing intervention is most effective in promoting wound healing?
What is the nurse's priority when caring for a patient with an open wound?
What is the nurse's priority when caring for a patient with an open wound?
A nurse is explaining the development of pressure injuries to a student.
Which statement by the student shows understanding?
A nurse is explaining the development of pressure injuries to a student. Which statement by the student shows understanding?
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A patient is assessed with a Braden Scale score of 12. What is the priority nursing intervention?
A patient is assessed with a Braden Scale score of 12. What is the priority nursing intervention?
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Which intervention is most effective in preventing pressure injuries in a bedbound patient?
Which intervention is most effective in preventing pressure injuries in a bedbound patient?
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A patient with a Stage 3 pressure injury has signs of infection. What is the nurse's priority action?
A patient with a Stage 3 pressure injury has signs of infection. What is the nurse's priority action?
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Which factor is most likely to delay wound healing in a patient?
Which factor is most likely to delay wound healing in a patient?
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A nurse is assessing a patient's sacral area and observes an open ulcer with a red-pink wound bed and no slough. How should this pressure injury be staged?
A nurse is assessing a patient's sacral area and observes an open ulcer with a red-pink wound bed and no slough. How should this pressure injury be staged?
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Which collaborative intervention is most appropriate for a patient with a deep Stage 4 pressure injury?
Which collaborative intervention is most appropriate for a patient with a deep Stage 4 pressure injury?
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Study Notes
Healing by Intention
- Tertiary intention healing involves intentionally leaving a wound open due to infection and later closing it surgically.
Wound Healing Principles
- Adequate protein and calorie intake is crucial for tissue repair and wound healing.
Nursing Process for Wound Care
- Assessing the size, depth, and color of a wound is the nurse's priority.
- Assessment provides critical information for planning appropriate wound care.
Etiology of Pressure Injuries
- Prolonged pressure on bony prominences reduces blood flow, leading to tissue necrosis.
- Pressure injuries can arise from shearing forces and moisture from incontinence.
Braden Scale Assessment
- A Braden Scale score of 12 indicates a high risk for pressure injuries requiring frequent repositioning.
Preventing Pressure Injuries
- Repositioning the patient every 2 hours and using support surfaces is crucial to prevent pressure injuries in bedbound patients.
- Application of foam dressings can also help prevent pressure injuries, specifically on areas prone.
Managing Pressure Injuries with Infection
- Obtaining a wound culture before administering antibiotics is critical to ensure appropriate treatment.
Factors Delaying Wound Healing
- Smoking impairs circulation and reduces oxygen delivery to tissues, impeding wound healing.
Clinical Manifestations of Pressure Injuries
- A red-pink wound bed with no slough suggests a Stage 2 pressure injury.
Nursing and Collaborative Management of Pressure Injuries
- Administering prescribed antibiotics and consulting with a wound care specialist is essential for deep Stage 4 pressure injuries. This addresses infection and provides expert recommendations.
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Description
This quiz focuses on the key principles of wound healing, the nursing process involved in wound care, and strategies for preventing pressure injuries. It covers topics such as tertiary intention healing, the Braden Scale assessment, and the importance of dietary intake in tissue repair.
