Question

select the right answer :

QUES :

The stages of wound healing are:

Select one:

a. homeostasis, inflammation, reconstructive and maturation

b. homeostasis, infection, reconstructive and scab formation

c. haemostasis, inflammation, reconstructive and maturation

d. haemostasis, infection, reconstructive and scab formation

QUES :

The practitioner orders a patient’s wound drain to be removed. The nurse notes that the amount of wound drainage has not decreased recently and the colour remains sanguineous. What should the nurse do?

Select one:

a. Inform the practitioner of the amount and type of drainage and clarify the order

b. Proceed with the order as directed and remove the drain

c. Proceed with the order but apply highly absorbent dressings after drain removal

d. Monitor the amount and type of drainage for 12 hours and then clarify the order

QUES :

The patient’s postoperative wound drain was removed yesterday. Today, the nurse notes increased drainage on the dressing, pain at the wound site, and a low-grade fever. What should the nurse conclude from these findings?

Select one:

a. These signs and symptoms suggest an infection at the wound site.

b. These changes in wound drainage require replacement of the wound drain.

c. These changes indicate a normal postoperative wound healing process.

d. These changes indicate a normal postoperative wound healing process

QUES :

After completing discharge education for a patient who recently had a surgical drain removed, the nurse recognizes that further teaching is needed when the patient makes which statement?

Select one:

a. “The lighter, thin, yellow-colored drainage I see indicates normal wound healing.”

b. “If I notice any thick, yellow drainage, I just need to take a shower.”

c. “If my pain gets worse or there is more drainage, I will call my doctor.”

d. “The red and bloody drainage should decrease over the next few days.”

QUES :

Answer 1

Ques1:stages of wound healing are

Phase 1: Hemostasis Phase.:The first stage of wound healing is for the body to stop the bleeding. This is called hemostasis or clotting and it occurs within seconds to minutes after you suffer a wound.
Phase 2: Defensive/Inflammatory Phase:Inflammation is the second stage of wound healing and begins right after the injury when the injured blood vessels leak transudate (made of water, salt, and protein) causing localized swelling. Inflammation both controls bleeding and prevents infection.
Phase 3: Proliferative Phase/reconstructi e phase:The proliferative phase of wound healing is when the wound is rebuilt with new tissue made up of collagen and extracellular matrix.
Phase 4: Maturation Phase:Also called the remodeling stage of wound healing, the maturation phase is when collagen is remodeled from type III to type I and the wound fully closes

Ques2.Inform the practitioner of the amount and type of drainage and clarify the order.usually drains should be removed once the drainage has stopped or becomes less than about 25 ml/day. Drains can be 'shortened' by withdrawing them gradually (typically by 2 cm per day) and so,gradually wound healing occurs.incertain circumstances it remove earlier.so clarify the order before removing.

Ques3

These change indicates normal postoperative wound healing process. It is normal in inflammatory phase. If wound drainage is pus and cloudy drainage, highdegree of fever, foul smell in the wound indicates infection of wound site.

Ques4:If I notice any thick, yellow drainage, I just need to take a shower.”. It need further teaching, because remaining are normal process of wound healing except this. It indicates the wound site infection. So immediately inform the physician.