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 D
Explanation
A. A small amount of red drainage is expected immediately after surgery.
B. A shiny, moist stoma indicates healthy tissue and is a normal finding.
C. A rosebud-like appearance of the stoma is expected for a newly created colostomy.
D. A purplish-colored stoma is a sign of compromised circulation and possible necrosis, which requires immediate medical attention.
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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