Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN: 9781451194524
Author: Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher: JONES+BARTLETT PUBLISHERS, INC.
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Question

One nursing intervention for Impaired Tissue Integrity

Expert Solution
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Step 1

The disruption in the skin integrity leads to wound.

Types of wounds-

  • Intentional wound
  • Unintentional wound
  • Clean wound
  • Contaminated wound

Factors which may affects the wound healing-

  • Age
  • Nutrition
  • Oxygenation
  • Smoking
  • Chronic disease like diabetes

Assessment of wound-

  • Bruise- it is the redness over the skin due to damage of blood vessels beneath the skin.
  • Abrasion- It involves the outer layer of the skin.
  • Laceration- Wound is deep, bleeding will be there.
  • Avulsion- It is deeper and the skin torn away from the body.
  • Puncture- skin Pierced with the needle/any sharp object.
  • Superficial epidermal- when the superficial skin is involved
  • Deep-epidermis and partial layer of dermis is involved.
  • Full thickness- when muscles get involved.
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