1
Primary healing in clean lacerations & surgical incisions. Closed with skin adhesive or sutures.
2
According to evidence-based practice, the first action the nurse should take is to raise the height of the client's bed. This ensures the client is close to the nurse's center of gravity and reduces the risk of injury.
3
The formation of an open sore on the skin or mucous membrane resulting from tissue loss.
4
The process of new tissue formation that occurs during wound healing.
Granulation tissue forms in healing wounds during the proliferative phase. Granulation tissue is soft, red tissue with a granular appearance that bleeds easily.
5
This client is at greatest risk for a pressure injury because they have a very limited sensory perception. The nurse should monitor the client for a pressure injury.
6
The invasion of the body by harmful microorganisms, leading to tissue damage.
7
Fluid that leaks out of blood vessels into nearby tissues, often seen in inflammation.
8
The separation of surgical sutures or wound edges, leading to reopening of a wound.
9
Thin, dehydration,less subcutaneous fat
10
The process by which damaged tissues are replaced by new cells.
11
The death of cells or tissues in the body due to injury or lack of blood supply.
12
A condition characterized by reduced blood flow to a tissue, leading to oxygen deprivation. Immobility, age and weight are risk factors for pressure ulcers
13
The nurse should flush the wound until the solution that is draining is clear because this indicates all the debris is removed from the wound. 0.9%sodium chloride
14
Vitamin C is essential for wound healing to promote formation of new capillaries, synthesis of new tissue and development of collagen.
15
An elevation in the WBC count indicates that the client’s immune system is defending him against the pathogen causing an infection
