Nokea
The phase of healing during which granulation tissue forms in a wound is the:
- A. inflammatory phase
- B. reconstruction phase
- C. maturation phase
- D. remodeling phase
Correct Answer: B
Rationale: Granulation tissue forms during the reconstruction (proliferative) phase, filling the wound with new tissue.
You may also like to solve these questions
A patient has signs of infection in his left shoulder incision-erythema, warmth, and a small amount of purulent drainage. You prepare to report this to the health-care provider. Which information will you have ready when you call?
- A. Vital signs
- B. Name and dosage of pain medication currently ordered
- C. Appropriate laboratory results
- D. Patient's rating of incisional pain
- E. Description of the wound and drainage
- F. Names of all staff who have changed his dressing since surgery
- G. Signs of infection you observe
Correct Answer: A,C,E,G
Rationale: Vital signs, lab results, wound description, and infection signs are critical for the provider to assess and plan treatment.
Your patient has a large abdominal wound with copious drainage and many layers of gauze 4x4s in the dressing. The patient develops a skin reaction to the tape due to frequent dressing changes. What might you recommend for this patient?
- A. Change to surgical adhesive instead of tape to hold dressings in place
- B. Call the doctor and ask for an order to decrease dressing change frequency
- C. Ask the charge nurse about using Montgomery straps or an abdominal binder instead of tape
- D. Wrap gauze around the patient's trunk to hold the dressings in place
Correct Answer: C
Rationale: Montgomery straps or an abdominal binder reduce skin irritation by minimizing tape use while securing dressings.
A patient returns from surgery with a left shoulder dressing. A 3-inch diameter spot of red drainage is visible on the anterior portion of the dressing. The health-care provider does not want the dressing disturbed for 24 hours. What will you do?
- A. Call the health-care provider to report the drainage and request a change in orders
- B. Reinforce the dressing by adding several gauze 4x4s over the area
- C. Draw a line on the dressing outlining the drainage, with the date, time, and your initials
- D. Document the drainage in the chart and observe for further drainage over the next several hours
Correct Answer: C,D
Rationale: Outlining and documenting the drainage allows monitoring for expansion without disturbing the dressing, per provider orders.
You observe pink drainage from a patient's wound. You would describe this as:
- A. sanguineous
- B. serous
- C. purulent
- D. seropurulent
- E. serosanguineous
Correct Answer: E
Rationale: Serosanguineous drainage is pink, combining clear serous fluid and small amounts of blood.
A patient's J-P drain should be emptied:
- A. every 2 hours
- B. every 8 hours
- C. when one-half to two-thirds full
- D. only when it needs to be reactivated
- E. when the container is full
Correct Answer: C
Rationale: A J-P drain should be emptied when one-half to two-thirds full to maintain proper suction and prevent complications.