A nurse is caring for a patient who has a surgical wound. Which of the following factors places the patient at risk for dehiscence? Select all that apply.

Poor nutritional status

Medication administration

Obesity

Nonadherence

Increased metabolic rate

Answer and Explanation

The Correct Answer is A

Choice A reason: Poor nutritional status can impair wound healing and increase the risk of wound dehiscence.

Choice B reason: Medication administration is too vague to determine a risk for dehiscence without specifying the type of medication.

Choice C reason: Obesity can increase the risk of dehiscence due to the strain on the wound from excess tissue.

Choice D reason: Nonadherence could contribute to dehiscence if it refers to not following postoperative care instructions, but it is not specific enough in this context.

Choice E reason: An increased metabolic rate can lead to higher demands on the body's healing process, potentially aﬀecting wound integrity.

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Correct Answer is C

Explanation

Choice A reason: Atropine is used to treat bradycardia and is not an antidote for warfarin overdose.

Choice B reason: Protamine is used to reverse the eﬀects of heparin, not warfarin.

Choice C reason: Vitamin K is the antidote for warfarin overdose as it helps in the synthesis of clotting factors that warfarin inhibits.

Choice D reason: Epinephrine is used for severe allergic reactions and cardiac arrest, not as an antidote for warfarin overdose.

A. Metabolic acidosis B. Respiratory acidosis C. Metabolic alkalosis D. Respiratory alkalosis

Correct Answer is A

Explanation

Choice A reason: Metabolic acidosis is characterized by a low pH and a normal or low HCO3. In this case, the pH is 7.25, which is below the normal range of 7.35-7.45, and the HCO3 is 22, which is at the lower end of the normal range of 22-26 mEq/L, indicating metabolic acidosis.

Choice B reason: Respiratory acidosis is characterized by a high CO2 level. However, in this scenario, the CO2 is 40, which is within the normal range of 35-45 mmHg, ruling out respiratory acidosis.

Choice C reason: Metabolic alkalosis would present with a high pH and a high HCO3 level. Since the pH is low, metabolic alkalosis is not the correct answer.

Choice D reason: Respiratory alkalosis is characterized by a low CO2 level and a high pH. Given that the CO2 is normal and the pH is low, respiratory alkalosis is not the condition indicated by these ABG results.

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A nurse is caring for a patient who has a surgical wound. Which of the following factors places the patient at risk for dehiscence? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who is receiving warfarin therapy to prevent deep vein thrombosis. Which of the following medications should the nurse have available in the event of an overdose?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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