Question

question 3 of 10
the nurse is assessing the wound of a postoperative client. the client has a 6 - inch abdominal wound that is well approximated and closed with surgical suture. the wound does not display any redness or drainage. the nurse would document the healing process as:
secondary intention
progressive intention
tertiary intention
primary intention

Explanation:

• Primary intention: Wounds with minimal tissue loss, well - approximated (edges close together), and closed (like with surgical sutures) are characteristic of healing by primary intention. There is usually little to no redness (inflammation beyond the initial normal response) or drainage (as the wound is sealed).
• Secondary intention: Wounds that heal by secondary intention have more tissue loss, and the wound edges are not approximated. These wounds are left open to heal from the bottom up, and they are more prone to redness (due to ongoing inflammation and granulation tissue formation) and may have more exudate (drainage).
• Tertiary intention: This is a delayed primary closure. The wound is initially left open (maybe due to contamination), and after a period (to allow for cleaning, reduction of infection risk), it is then closed. It does not match the description of a wound that was initially closed with sutures and has no signs of problems.
• Progressive intention is not a standard term for wound - healing intentions.

Answer:

Primary intention