Question

The nurse is caring for a client who has experienced hypovolemic shock secondary to penetrating multiple trauma. When caring for the client postoperatively, which of these factors does the nurse recognize places the client at risk for poor wound healing?

a) Hyperbaric oxygen

b) Pain

c) Keloid formation

d) Tissue hypoxia

Answer 1

For a client with hypovolemic shock post-trauma, tissue hypoxia is the primary risk factor for poor wound healing. Following initial clot formation in wound response, the body increases connective tissue production, and the redness of inflammation is due to increased blood flow.

Step-by-step explanation:

The client who has experienced hypovolemic shock secondary to penetrating multiple trauma and is postoperative is at risk for poor wound healing primarily due to tissue hypoxia. Tissue hypoxia, or lack of oxygen supply to the tissues, is a critical factor for wound healing as oxygen is necessary for cellular functions and repair mechanisms.

While addressing the question about the risk factors for poor wound healing, the body's wound-healing response can be considered with its subsequent stages. After the initial formation of a blood clot, the next response in wound healing is the increased production of connective tissue. This involves the mobilization of fibroblasts which deposit collagen to form granulation tissue, eventually leading to new tissue formation and wound healing. Lastly, the redness of inflammation, often visible during the healing process, is typically caused by an increase in blood flow to the damaged area, a response that delivers necessary nutrients and immune cells.