ATI LEADERSHIP PROCTORED EXAM–REVISION GUIDE(LATEST) 70 QEUSTIONS AND ANSWERS
1. A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a change in the wound care procedure. Which of the following findings indicate wound healing. a. Erythema on the skin surrounding a client's wound b. Deep red color on the centre of the clients wound c. Inflammation noted on the tissue edges of a client's wound d. Increase in serosanguineous exudate from the clients' wound (damaged capillaries) Rationale: Leadership 7.0 pg 329: - Stages of Wound Healing - Inflammatory stage - beginning stage, also usually suggests infection - Begins with the injury and lasts 3 to 6 days - - - Proliferative stage - - Effects to the wound: controlling bleeding with vasoconstriction and retraction of blood vessels, and with clot formation. Delivering oxygen, WBCs, nutrients to the area via the blood supply. Hemosta
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