Practice Question
A nurse is assessing a client who reports trauma to the arm from falling off a bicycle. The skin has a large abrasion that is warm, darker than the surrounding skin, and edematous. Which of the following stages of healing is the wound in?
Answer Choices:
Correct Answer:
Hemostasis and inflammation
Rationale:
⬛ A wound that is warm, darker/red, and edematous is demonstrating classic signs of the inflammatory phase of healing.
⬛ Immediately after injury, hemostasis occurs to stop bleeding through clot formation, followed closely by inflammation to protect the tissue.
⬛ Increased warmth and swelling occur because blood vessels dilate and capillary permeability increases, bringing immune cells to clean debris and prevent infection.
⬛ The darker coloration reflects increased local blood flow and inflammatory mediators, which is expected early in healing.
⬛ This stage sets up the wound bed for later repair by preparing tissues for proliferation (granulation and epithelialization).
Tissue remodeling:
⬛Remodeling occurs late, when collagen reorganizes and scar tissue strengthens over weeks to months.
⬛Warmth and edema are not the main features of this late stage.
Proliferation:
⬛Proliferation involves granulation tissue formation, new blood vessels, and epithelial coverage, usually after the early inflammatory response.
⬛The described warmth and swelling point more to the earlier inflammatory phase.
Calcification:
⬛Calcification is not a normal stage of wound healing and is not expected in typical abrasion repair.
⬛It would suggest abnormal pathology rather than a standard healing phase.
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This question is from Custom-Harris Medsurg 2 Test 3 PN which contains 39 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Medical-Surgical
- Answer Choices: 4