A client’s laceration has been closed with tissue adhesive. What instr

A client’s laceration has been closed with tissue adhesive. What instruction should the nurse provide the client about wound healing?

1. Primary intention
2. Open approximation
3. Secondary healing
4. Delayed closure

ANSWER

Correct Answer: 1
Rationale 1: The nurse should instruct the client regarding primary intention wound healing. The edges of these wounds are approximated and held together with sutures, bandages, or tissue adhesive. Scarring is minimal with these wounds.
Rationale 2: Secondary healing involves wounds that cannot be approximated and that must “heal in.”
Rationale 3: Secondary healing involves wounds that cannot be approximated and that must “heal in.” These wounds are at higher risk for infection, take longer to heal, and are more prone to scarring.
Rationale 4: Wounds that are left open for 3 to 5 days allow edema or infection to resolve or exudate to drain and are then closed with sutures, staples, or adhesive skin closures heal by tertiary intention. This is also called delayed primary intention.