A post-operative patient is at risk for developing a wound infection. Which of the following nursing assessments is the highest priority to prevent this complication?

Monitoring the patient's vital signs

Assessing the patient's pain level

Inspecting the surgical incision site for redness, swelling

Assessing the patient's fluid intake and output

Answer and Explanation

The Correct Answer is C

A.   While important for overall patient assessment, it's not the most direct way to monitor for a wound infection.
B.   Pain can indicate a wound infection, but it's not as specific as directly inspecting the wound.
C.   This is the most direct way to assess for early signs of a wound infection. Redness, swelling, warmth, and drainage are classic signs of infection.
D.   Important for overall patient care, but not specifically related to wound infection prevention.

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Correct Answer is D

Explanation

A. This is caused by an increase in acid or a loss of bicarbonate. Vomiting does not typically lead to this.
B. This is caused by a buildup of carbon dioxide in the blood, usually due to inadequate breathing.
C. This is caused by hyperventilation and excessive loss of carbon dioxide.
D. This is caused by a loss of acid or an increase in bicarbonate. Vomiting can lead to a loss of stomach acid, resulting in metabolic alkalosis.

A. Regular ambulation B. Obesity C. Young age D. Adequate hydration

Correct Answer is B

Explanation

A. This actually helps prevent thromboembolism by promoting blood flow.

B. Increased body weight can contribute to blood clotting, increasing the risk of thromboembolism.
C. While not impossible, younger individuals are generally at lower risk for thromboembolism compared to older adults.
D. Proper hydration helps maintain blood flow and can reduce the risk of blood clots.

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A post-operative patient is at risk for developing a wound infection. Which of the following nursing assessments is the highest priority to prevent this complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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