NURSING ANM AND GNM

NURSING EXAM QUESTIONS

PATHOLOGY AND GENETICS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
What is important to remember regarding second intention wounds
A
Fibrous CT fills the defect but this can delay epithelial cell migration
B
Can cause large amounts of granulation tissue to form which reduces tensile strength
C
Is simple and uncomplicated
D
Can cause wound hypoxia
Explanation: 

Detailed explanation-1: -Granulation tissue is an important component in the wound healing process. Wounds can heal by primary intention (wound edges approximate easily) and secondary intention (wounds edges do not approximate). Granulation tissue matrix will fill wounds that heal by second intention.

Detailed explanation-2: -Myofibroblasts have hybrid properties of fibroblasts and smooth muscle cells. In other words, these cells can produce collagens and other matrix proteins, but they can also contract. Myofibroblasts are found in the granulation tissue and are important for the contraction of wounds and the prevention of dehiscence.

Detailed explanation-3: -To prevent hypergranulation tissue from forming, tape the feeding tube to the skin to prevent movement, make sure your child’s tube is the correct size, keep the stoma clean and dry, and prevent infections.

Detailed explanation-4: -Secondary intention healing means a wound will be left open (rather than being stitched together) and left to heal by itself, filling in and closing up naturally. It will mean you need regular dressings to the area for up to six weeks, but the time to full healing depends on the size, depth and site of the wound.

There is 1 question to complete.