Fairly easy

A nurse assesses a wound whose edges are separated from each other, but no deeper tissue is visible. Which finding should the nurse document?

Correct answer: A. Wound dehiscence

  • A. Wound dehiscence
  • B. Wound evisceration
  • C. Wound contraction
  • D. Wound epithelialisation

Explanation

Dehiscence means partial or complete separation of wound layers, often involving a surgical incision. Evisceration is more severe because internal organs or tissues protrude through the separated incision.

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About Wound Care and Dressings

Wound care covers wound classification, healing stages, assessment of tissue and drainage, pain, infection signs, dressing selection and clean or sterile dressing technique. It also includes pressure injuries by stage and the factors affecting healing, such as nutrition, circulation, diabetes, infection and prolonged pressure.

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