Physiological AdaptationQuestion 126 of 2368
During a dressing change, the nurse finds dark red granulation tissue that is painful and bleeds easily with minimal contact. Which action is most appropriate?
- Suspect infection and plan to obtain a wound culture
- Document the tissue as healthy granulation and continue the plan
- Remove the tissue with the dressing change
- Reassure the client that this finding is expected
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Correct answer: Suspect infection and plan to obtain a wound culture
Unhealthy granulation tissue is dark red, painful, and bleeds easily. It is often caused by infection, so a culture is obtained.
Source: Nursing Fundamentals, 2nd edition (Open RN, Chippewa Valley Technical College, 2024), Integumentary: Phases of Wound Healing. Licensed under CC BY 4.0.
Practice the topic "Physiological Adaptation"Questions last reviewed: 18 October 2026