NURS 302: MODULE 3: TEST QUESTIONS WITH 100% ACCURATE
SOLUTIONS
Wound Healing:
1) Primary Intention -- Answer ✔✔ Little tissue loss. Skin edges are
approximated, closed, risk for infection is low
2) Secondary Intention -- Answer ✔✔ Severe laceration. Left open until it
becomes filled by scar tissue. Chance of infection is greater
3) Granulation Tissue -- Answer ✔✔ The best environment for wound healing.
Is moist and free of necrotic tissue and infection. Skin edges are approximated,
wound is filled with scar tissue, granulation tissue is red and moist in the
wound bed
Complications of Wound healing:
4) Hemorrhage -- Answer ✔✔ if occurring after hemostasis it indicates a
dislodged surgical suture, clot, infection, or erosion of a blood vessel by a
foreign object
, 5) Infection -- Answer ✔✔ Odorous, green and cloudy discharge would indicate
infection and the wound healing process would be inhibited due to infection
6) Dehiscence -- Answer ✔✔ when the surgical incision doesn't heal properly,
layers of skin and tissue separate. Most commonly occurs before collagen
formation (3-11 days after injury)
7) Eviscerations -- Answer ✔✔ Total separation. EMERGENCY
Nursing management:
8) Braden Scale -- Answer ✔✔ Risk for pressure ulcers
9) Braden Scale MAX score -- Answer ✔✔ 23
10) Braden Scale interpretation -- Answer ✔✔ less than or equal to 16= at risk
for pressure injury less than 9= at very high risk for pressure injury
11) Health promotion/education/ prevention -- Answer ✔✔ patient's with
existing wounds or at risk needs extra protein, calories, and nutrients
12) Skin care -- Answer ✔✔ -make an effort to control, contain, or correct
incontinence, perspiration, or wound drainage
- make sure when you clean skin it is dry
13) Positioning -- Answer ✔✔ -reposition a patient at least every 2 hours
- reduce or relieve pressure at the interface between bony prominences and
support surfaces
SOLUTIONS
Wound Healing:
1) Primary Intention -- Answer ✔✔ Little tissue loss. Skin edges are
approximated, closed, risk for infection is low
2) Secondary Intention -- Answer ✔✔ Severe laceration. Left open until it
becomes filled by scar tissue. Chance of infection is greater
3) Granulation Tissue -- Answer ✔✔ The best environment for wound healing.
Is moist and free of necrotic tissue and infection. Skin edges are approximated,
wound is filled with scar tissue, granulation tissue is red and moist in the
wound bed
Complications of Wound healing:
4) Hemorrhage -- Answer ✔✔ if occurring after hemostasis it indicates a
dislodged surgical suture, clot, infection, or erosion of a blood vessel by a
foreign object
, 5) Infection -- Answer ✔✔ Odorous, green and cloudy discharge would indicate
infection and the wound healing process would be inhibited due to infection
6) Dehiscence -- Answer ✔✔ when the surgical incision doesn't heal properly,
layers of skin and tissue separate. Most commonly occurs before collagen
formation (3-11 days after injury)
7) Eviscerations -- Answer ✔✔ Total separation. EMERGENCY
Nursing management:
8) Braden Scale -- Answer ✔✔ Risk for pressure ulcers
9) Braden Scale MAX score -- Answer ✔✔ 23
10) Braden Scale interpretation -- Answer ✔✔ less than or equal to 16= at risk
for pressure injury less than 9= at very high risk for pressure injury
11) Health promotion/education/ prevention -- Answer ✔✔ patient's with
existing wounds or at risk needs extra protein, calories, and nutrients
12) Skin care -- Answer ✔✔ -make an effort to control, contain, or correct
incontinence, perspiration, or wound drainage
- make sure when you clean skin it is dry
13) Positioning -- Answer ✔✔ -reposition a patient at least every 2 hours
- reduce or relieve pressure at the interface between bony prominences and
support surfaces
