A postoperative patient experiences separation of the layers of his abdominal surgical wound during coughing. Separation of the layers of a surgical wound is known as
dehiscence
laceration
evisceration
autologous
The Correct Answer is A
A. Dehiscence: Dehiscence refers to the partial or total separation of the wound's layers, often occurring after surgery, such as when coughing increases intra-abdominal pressure.
B. Laceration: A laceration refers to a tear or break in the skin due to trauma, not a surgical complication.
C. Evisceration: Evisceration occurs when the internal organs protrude through the wound, which is a more severe complication than dehiscence.
D. Autologous: Autologous refers to using a person's own tissues or cells (e.g., blood transfusion), not a wound complication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. Gather an emesis basin, tissues, and a small towel. Nausea and vomiting are common postoperative effects; having supplies ready helps with patient comfort.
B. Lower the bed for easy transfer of the patient. Lowering the bed facilitates a safe and smooth transfer from the stretcher to the bed.
C. Place an IV pole at the head of the bed. The IV should be positioned for easy access and monitoring.
D. Fan fold the sheets on the near side of the bed. Fan folding the sheets makes it easier to transfer the patient into bed without unnecessary movement.
E. Collect extra dressing supplies and place them on the bedside table. Dressing supplies should be kept sterile and only opened when needed to prevent contamination.
Correct Answer is D
Explanation
A. List the patient off the unit on the computer. Listing the patient off the unit in the computer is important for tracking, but this is not the most immediate priority when transporting the patient. Verifying the patient's identity is more crucial to prevent errors in patient care.
B. Tell the family how to get to the surgical waiting room. While it is helpful to guide the family to the surgical waiting room, the nurse's primary responsibility when the transport person arrives is to ensure the patient is correctly identified and safely transferred.
C. Assist with the transfer of the patient to the stretcher. Assisting with the transfer is important for patient safety, but the most important step is verifying the patient's identity to ensure the correct procedure is being performed.
D. Verify the patient's ID number with the medical record and transport slip. The most important task when the transport person arrives is to verify the patient's identity to prevent errors. The nurse must confirm the patient’s identity by checking the ID number against the medical record and transport slip before the patient is transferred to avoid any mistakes.
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