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
Explanation
A. Palliative. Palliative surgery aims to relieve symptoms or reduce the size of a tumor without curing the underlying disease. The patient is having part of the tumor removed to relieve pain.
B. Emergency. Emergency surgery is performed in response to a life-threatening situation, such as trauma or acute illness, not for a metastatic tumor causing pain.
C. Diagnostic. Diagnostic surgery is performed to obtain tissue samples for evaluation (e.g., biopsy) to determine the nature of a disease, not to remove part of a tumor.
D. Curative. Curative surgery aims to remove the entire tumor to eliminate the disease, which is not the case here since only part of the tumor is being removed for symptom relief.
Correct Answer is B
Explanation
A. Initiate protective isolation. Protective isolation is for immunocompromised patients and does not prevent incisional infections.
B. Perform hand hygiene prior to dressing changes. Hand hygiene is the most effective way to prevent infection by reducing the transmission of microorganisms.
C. Clean the incision with soap and water. Surgical incisions should be cleaned with an antiseptic solution, not soap and water, to prevent bacterial contamination.
D. Allow the wound to air periodically. Keeping the wound covered helps prevent exposure to bacteria and contaminants.
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