The nurse would identify the presence of granulation tissue at a wound site by which characteristic?

• A. Black, hard tissue indicating necrosis
• B. Pale, shiny tissue with minimal vascularization
• C. Red, moist tissue with a bumpy or grainy appearance
• D. Dry, yellowish tissue with a leathery texture

Answer: (C)

Verified step by step guidance

1. Understand the concept of granulation tissue: Granulation tissue is a key part of the wound healing process. It forms during the proliferative phase of healing and is characterized by new connective tissue and tiny blood vessels that grow from the wound bed.
2. Identify the characteristics of granulation tissue: Granulation tissue is typically red or pink due to the presence of new capillaries, moist because of its vascular nature, and has a bumpy or grainy appearance due to the formation of new tissue and extracellular matrix.
3. Compare the options provided: Evaluate each description against the known characteristics of granulation tissue. For example, black, hard tissue indicates necrosis (dead tissue), which is not granulation tissue. Pale, shiny tissue with minimal vascularization does not match the red, moist, and grainy appearance of granulation tissue. Dry, yellowish tissue with a leathery texture suggests slough or eschar, not granulation tissue.
4. Focus on the correct description: The correct answer is 'Red, moist tissue with a bumpy or grainy appearance,' as this matches the characteristics of granulation tissue formed during wound healing.
5. Apply this knowledge clinically: Recognizing granulation tissue is important for assessing wound healing progress. Its presence indicates that the wound is healing properly, while deviations from this appearance may signal complications such as infection or poor vascularization.