A nurse in a long-term care facility is caring for a client who had abdominal surgery 6 weeks ago.
Which of the following images indicates the client's wound is healing by primary intention?

The wound has edges that are well-approximated.

The wound shows signs of granulation tissue formation.

The wound has a scab covering the surface.

The wound is oozing serous drainage.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Healing by primary intention occurs when wound edges are approximated, promoting direct tissue regeneration. This process minimizes scarring and involves epithelial cell migration and collagen synthesis.

Choice B rationale

Granulation tissue formation is characteristic of secondary intention healing. In this method, wounds heal from the base upward, requiring granulation tissue to fill the wound bed before epithelialization occurs.

Choice C rationale

Scab formation indicates that healing is in progress but does not specifically represent primary intention. Scabs form during secondary or tertiary healing phases to protect the underlying tissue.

Choice D rationale

Serous drainage is associated with the inflammatory phase of wound healing and does not signify primary intention. Excessive drainage may indicate impaired healing or infection.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale

Palm oil is high in saturated fats, which increase LDL cholesterol levels and promote atherosclerosis progression, making it unsuitable for lowering fat and cholesterol.

Choice B rationale

Increasing consumption of 2% milk elevates intake of saturated fats, which can raise LDL cholesterol levels, negating dietary goals for atherosclerosis management.

Choice C rationale

Limiting meat portions to 3 ounces per meal controls saturated fat intake, reducing LDL cholesterol levels. It aligns with dietary recommendations for managing atherosclerosis.

Choice D rationale

Baked goods containing trans fats increase LDL cholesterol while decreasing HDL cholesterol levels, worsening atherosclerosis risk and contradicting dietary teaching. .

A. Assist the client to ambulate to promote bowel movement. B. Encourage oral intake to prevent dehydration. C. Administer prescribed anti-emetics. D. Notify the provider for further evaluation.

Correct Answer is D

Explanation

Choice A rationale

Ambulation can stimulate peristalsis and promote bowel movements. However, ambulation is not the priority when the client reports severe abdominal pain rated 7/10 and vomiting. These symptoms could indicate a potential obstruction or other complications, and further evaluation is essential before initiating physical activity to avoid exacerbating the condition.

Choice B rationale

Encouraging oral intake is important to prevent dehydration, particularly if the client has been vomiting. However, this is not the first intervention, as assessing the underlying cause of the symptoms takes precedence. Increasing oral intake without addressing potential gastrointestinal obstruction may worsen the client's condition.

Choice C rationale

Administering antiemetics can provide symptom relief for nausea and vomiting. However, this intervention addresses a symptom rather than identifying the underlying cause of the client's abdominal pain and vomiting. Further evaluation by a provider is necessary before symptomatic management.

Choice D rationale

Notifying the provider allows for further evaluation and timely diagnosis of the cause of the abdominal pain and vomiting, which could indicate serious conditions like bowel obstruction or ischemia. Prompt medical evaluation is essential to determine the appropriate intervention and ensure the client's safety.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse in a long-term care facility is caring for a client who had abdominal surgery 6 weeks ago.Which of the following images indicates the client's wound is healing by primary intention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about lowering fat and cholesterol in the diet with a client who has atherosclerosis.Which of the following responses by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

The client reports mid-abdominal pain rated as 7 on a scale of 1 to 10. The client states, "I haven't had a bowel movement in 4 days and have vomited once or twice.”. Which of the following should the nurse do first?

Correct Answer is D

Explanation

A nurse is reinforcing teaching about lowering fat and cholesterol in the diet with a client who has atherosclerosis.Which of the following responses by the client indicates an understanding of the teaching?

A nurse is contributing to the plan of care for a client who has had severe diarrhea for the past days and is now beginning solid foods.Which of the following foods should the nurse include in the plan of care?

A nurse is assisting with the plan of care for a client who requires contact precautions.Which of the following interventions should the nurse include in the plan?

A nurse in an assisted living facility is collecting data from an older adult client who fell in their room and hit their head on the dresser. Which of the following findings is the nurse's priority?

A nurse is collecting data from a client who has iron-deficiency anemia.Which of the following should the nurse monitor for the clinical manifestation of cheilosis?

A nurse is caring for a client who has a tracheostomy tube.Upon data collection, the nurse observes the client is restless and hears crackles in the lungs.Which of the following interventions should the nurse take?

A nurse is reinforcing teaching with a client who is premenopausal.Which of the following statements by the nurse is appropriate regarding breast self-examinations?

A nurse in a long-term care facility is caring for a client who had abdominal surgery 6 weeks ago.
Which of the following images indicates the client's wound is healing by primary intention?