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?

Serosanguineous

Serous

Purulent

Sanguineous

Answer and Explanation

The Correct Answer is C

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.

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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.

A. Poor nutritional status B. Medication administration C. Obesity D. Nonadherence E. Increased metabolic rate

Correct Answer is A

Explanation

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 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.

Correct Answer is A

Explanation

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