A nurse is caring for a client who had abdominal surgery 3 days ago.
Exhibits
Select words from the choices below to fill in each blank in the following
sentence.
The client is at risk for developing Target 1 dropdown Target 2 dropdown and ___Target 3 dropdown .
The Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"E","dropdown-group-3":"B"}
Wound infection: The presence of purulent drainage and redness at the incision site indicates a risk for infection, especially given the client's surgical history and risk factors (obesity, diabetes).
Dehiscence: The noted separation of the top edges of the incision and stretched upper staples increases the risk of dehiscence, which can occur due to tension, infection, or inadequate healing.
Pneumonia: The client is febrile, has crackles upon auscultation, and may be at risk for pneumonia due to decreased mobility and shallow breathing, which can occur post-surgery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Having a daily bowel movement may not be realistic or necessary for all clients. The goal should be regularity based on the client's usual patterns.
B. Fiber intake should be spread throughout the day, not concentrated in a single meal, to aid digestion and prevent bloating.
C. A high fiber diet is essential in managing chronic constipation as it helps increase stool bulk and promotes regular bowel movements.
D. The client should drink at least 8 glasses of water daily, not just 2-3, to aid in bowel movements and prevent constipation.
Correct Answer is C
Explanation
A. Sanguineous drainage consists mostly of blood and is bright red, indicating active bleeding.
B. Serous drainage is clear or slightly yellowish and watery, often seen in healing wounds.
C. Serosanguineous drainage is a mixture of blood and serous fluid, which is watery with a pink or reddish tinge, common in early wound healing.
D. Purulent drainage is thick and cloudy, indicating infection, usually accompanied by an unpleasant odor.
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