Asked by Briannagh Smith on Jun 26, 2024

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The patient with a colostomy has been incorrectly applying his ostomy appliance.The continuous contact with liquid stool has caused a skin wound around the ostomy.The nurse assesses bleeding and purulent drainage that has extended into the dermis.How will the nurse classify and document this contaminated wound?

A) Acute, full-thickness, open
B) Chronic, partial-thickness, closed
C) Acute, partial-thickness, closed
D) Chronic, unstageable, open

Ostomy Appliance

A prosthetic device used by patients who have had an ostomy surgery to collect waste from a surgically diverted biological system (e.g., colon, ileum).

Purulent Drainage

A type of fluid that is released from a wound, indicating infection, and is often thick, yellow, green, or brown in color.

Contaminated Wound

A wound with the presence of bacteria or other pathogens that may potentially lead to infection.

  • Identify and classify types of wounds and their healing processes.
  • Recognize and manage complications associated with wounds, such as infection and improper healing.
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AF
Amiyah FergusonJun 29, 2024
Final Answer :
A
Explanation :
The wound is acute because it developed recently.The wound is full-thickness because it involves the dermis.The wound is open because it was bleeding,so the skin must be broken.The wound is contaminated because it is exposed to stool and appears to be infected.