Wounds and Pressure Ulcers
Wounds and Pressure Ulcers ( 15 Questions)
A nurse is assessing a client who has developed a wound on their lower leg. The client has a history of vascular disease.
Which of the following factors is most likely contributing to the client's impaired wound healing process?
"The client's advanced age is the primary factor affecting wound healing." While advanced age can affect wound healing, it is not the primary factor in this case.
The client's history of vascular disease is a more significant contributing factor.
"The client's wound is not adequately protected from friction." Friction can impact wound healing, but in this case, vascular disease plays a more substantial role in impaired wound healing.
"Vascular disease may lead to compromised blood flow and oxygenation in the affected area." This statement is correct.
Vascular disease can impair blood flow and oxygenation to tissues, significantly affecting wound healing.
Reduced blood flow deprives tissues of necessary nutrients and oxygen, leading to delayed healing.
"The client's wound healing process is delayed due to a hyperactive immune response." A hyperactive immune response is not typically a primary factor in impaired wound healing associated with vascular disease.
The primary concern in vascular disease is compromised blood flow and tissue perfusion.
Choice A rationale:
"The client's advanced age is the primary factor affecting wound healing." While advanced age can affect wound healing, it is not the primary factor in this case.
The client's history of vascular disease is a more significant contributing factor.
Choice B rationale:
"The client's wound is not adequately protected from friction." Friction can impact wound healing, but in this case, vascular disease plays a more substantial role in impaired wound healing.
Choice C rationale:
"Vascular disease may lead to compromised blood flow and oxygenation in the affected area." This statement is correct.
Vascular disease can impair blood flow and oxygenation to tissues, significantly affecting wound healing.
Reduced blood flow deprives tissues of necessary nutrients and oxygen, leading to delayed healing.
Choice D rationale:
"The client's wound healing process is delayed due to a hyperactive immune response." A hyperactive immune response is not typically a primary factor in impaired wound healing associated with vascular disease.
The primary concern in vascular disease is compromised blood flow and tissue perfusion.