A nurse is collecting data on a client's wound. The nurse observes that the wound surface is covered with soft, red tissue that bleeds easily. The nurse should recognize this is a manifestation of which of the following?
Explanation & Rationale
A. Decreased perfusion is incorrect because poor blood supply to a wound typically results in pale, dusky, or necrotic tissue and delayed healing. Tissue associated with decreased perfusion does not appear soft, beefy red, or bleed easily. B. Infection is incorrect because infected wounds usually present with purulent drainage, foul odor, increased pain, warmth, erythema, and possibly systemic signs such as fever. Soft red tissue that bleeds easily is not characteristic of infection. C. Granulation tissue is correct because it is new connective tissue and capillary growth that forms during the proliferative phase of wound healing. It appears soft, moist, beefy red or pink, and bleeds easily due to the presence of newly formed capillaries. Its presence indicates that the wound is healing appropriately. D. An inflammatory response is incorrect because inflammation occurs in the early phase of wound healing and is characterized by redness, heat, swelling, pain, and exudate rather than the formation of soft, vascular tissue. The description provided reflects tissue formation rather than inflammation alone.