Nursing · Integumentary System
A nurse is assessing a client's wound. Which of the following assessment findings are correctly matched? A. Black wound - Necrotic tissue; usually indicates dead tissue. B. Yellow wound - Exudate with yellow fibrous debris; may indicate infection. C. Red wound - Healthy granulation tissue; indicates healing process. D. Pain present - More likely in Stage 1 and 2; absent in Stage 3 and 4 due to nerve damage. E. Systemic infection - May present with exudate, pyrexia, and leukocytosis.
Verified Solution4 OptionsUpdated: October 2026👁️1 View
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- 1B, D, E only
- 2A, B, C, D, E✓
- 3A, C, D only
- 4A, B, C, D only
Correct answer
A, B, C, D, E
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