A nurse is caring for a patient who has wound dehiscence one week postoperative. Which of the following actions should the nurse take?

Place the patient supine with the knees ﬂexed.

Cover the patient's wound with a clean towel.

Apply an abdominal binder for support.

Oﬀer the patient a drink of water.

Answer and Explanation

The Correct Answer is B

Choice A reason: Placing the patient supine with the knees ﬂexed may be done to reduce tension on the abdominal area, but it is not the immediate action for wound dehiscence.

Choice B reason: Covering the wound with a clean towel is a priority to protect the wound from infection and further injury until it can be assessed and treated by a healthcare provider.

Choice C reason: Applying an abdominal binder may provide support to the abdominal area, but it should not be done without assessing the wound first.

Choice D reason: Oﬀering a drink of water is not related to the immediate care of wound dehiscence.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

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

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason: Serosanguineous drainage is a mixture of blood and clear ﬂuid, not typically yellow and thick.

Choice B reason: Serous drainage is clear and watery, not yellow and thick.

Choice C reason: Purulent drainage is typically yellow and thick, indicating the presence of pus, which can be a sign of infection.

Choice D reason: Sanguineous drainage is fresh bleeding, bright red in color, not yellow and thick.

A. Keep the bathroom door open to ensure the patient is okay. B. Walk the patient back to bed immediately and get the patient a bedpan. C. Warn the patient they might have to be restrained if they get up without assistance. D. Tell the patient to remain in the bathroom after toileting and obtain a wheelchair.

Correct Answer is D

Explanation

Choice A reason: Keeping the bathroom door open does not address the safety risk of the patient bearing weight on the operative foot.

Choice B reason: While it is important to assist the patient back to bed, providing a bedpan does not address the immediate safety concern.

Choice C reason: Warning the patient about restraints is not appropriate without first educating the patient about the importance of not bearing weight and the potential risks.

Choice D reason: Telling the patient to remain in the bathroom until a wheelchair can be obtained ensures the patient's safety and prevents further weight-bearing on the operative foot.

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 is caring for a patient who has wound dehiscence one week postoperative. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who is 1 day postoperative following a cholecystectomy. The nurse suspects the patient's wound is infected because the drainage from the dressing is yellow and thick. Which of the following findings should the nurse report as the type of drainage found?

Correct Answer is C

Explanation

A nurse is caring for a patient who is postoperative following foot surgery and is not to bear weight on the operative foot. The nurse enters the room to discover the patient hopped on one foot to the bathroom, using an IV pole for support. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is obtaining informed consent from a patient prior to surgery. Which of the following is necessary for informed consent to be valid?

A nurse is caring for a patient who has pneumonia. The patient's oxygen saturation is 85%. Which of the following actions should the nurse take first?

A nurse is reviewing the medication history of a patient. The nurse should identify that which of the following medications places the patient at risk for hypokalemia?

A nurse is providing preoperative teaching to a client who is undergoing total hip replacement surgery. Which of the following statements should the nurse include in the teaching?

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.

A nurse is caring for an older adult who is alert and competent and comes to the facility with her adult son for elective cataract extraction. After the provider explains the procedure, who should the nurse have sign the consent form?

A nurse is obtaining informed consent from a patient who is scheduled for a total hip arthroplasty. Which of the following statements should the nurse include?

A patient's ABG results came back with the following values: pH 7.25, CO2 40, HCO3 22. How would you, as the nurse, interpret these results?