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
.

Answer and Explanation

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

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Correct Answer is C

Explanation

A. Including intact skin in the culture would not accurately reflect the bacteria present in the wound itself.

B. Irrigating with an antiseptic may alter the bacterial flora, potentially leading to inaccurate culture results.

C. Cleansing the wound with 0.9% sodium chloride helps remove surface contaminants without affecting the bacterial culture from the wound bed.

D. Swabbing away from the wound does not provide information about the organisms causing the infection.

A. Immediately before the client has a meal B. After the client feels abdominal cramping C. Every 2 hr while the client is awake D. When the client has the urge to defecate

Correct Answer is D

Explanation

A. Taking the client to the toilet immediately before a meal does not correlate with the natural timing of defecation.

B. Abdominal cramping may indicate constipation or other issues, but waiting for cramping is not part of bowel training.

C. Taking the client to the toilet every 2 hours may not align with the client’s natural bowel habits.

D. The goal of bowel training is to help the client recognize and respond to the urge to defecate, promoting regular bowel habits and reducing incontinence.

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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 .

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a wound infection. Which of the following actions should the nurse take when obtaining a wound-drainage specimen for culture?

Correct Answer is C

Explanation

A nurse is implementing a bowel training program for a client. For the program to be effective, the nurse should take the client to the toilet at which of the following times?

Correct Answer is D

Explanation

Which of the following is a common risk factor for developing a urinary tract infection (UTI)?

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 .

A nurse is preparing a teaching plan for a client who has chronic constipation secondary to irregular bowel habits. Which of the following should the nurse plan to include in the teaching?

A nurse is teaching a client about foods and beverages that can cause diarrhea. Which of the following should the nurse include in the teaching?

A nurse is assessing a client's wound dressing, and observes a watery red drainage. The nurse should document this drainage as which of the following?

A nurse is teaching a client who has urinary incontinence about avoiding foods and beverages that can cause bladder irritation. The nurse should include that which of the following foods and beverages is a bladder irritant?

A nurse is assessing a client who has had staples removed from an abdominal wound postoperatively. The nurse notes a wide separation of the wound edges with light serosanguineous drainage. Which of the following actions should the nurse perform first?

A nurse is assessing a client who has urinary retention. Which of the following findings should the nurse expect?

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
.