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.

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Correct Answer is D

Explanation

Choice A reason: While nurses play a role in the informed consent process, they are not responsible for obtaining the consent for the surgery.

Choice B reason: An anesthesiologist may obtain consent for anesthesia but not for the surgical procedure itself.

Choice C reason: The surgical suite nurse assists in the operating room but does not obtain consent for the surgery.

Choice D reason: The surgeon performing the procedure is responsible for obtaining informed consent from the patient, making this the correct answer.

A. Cimetidine 300 mg PO four times per day B. Furosemide 80 mg PO daily C. Meloxicam 7.5 mg PO once daily D. Montelukast 10 mg to take daily

Correct Answer is B

Explanation

Choice A reason: Cimetidine is a medication used to treat ulcers and gastroesophageal reﬂux disease (GERD) and does not typically cause hypokalemia.

Choice B reason: Furosemide is a loop diuretic that can cause the excretion of potassium, leading to hypokalemia, which is a decrease in potassium levels in the blood.

Choice C reason: Meloxicam is a nonsteroidal anti-inﬂammatory drug (NSAID) and does not commonly cause hypokalemia.

Choice D reason: Montelukast is used to prevent asthma atacks and does not typically cause hypokalemia.

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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

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Correct Answer is B

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