After closing the curtain around the client’s bed and lifting his gown to expose the horizontal abdominal wound, which of the following positions should you assist the client into for comfortable wound irrigation?
High-Fowler’s
Side-lying
Supine
Dorsal Recumbent
The Correct Answer is A
Choice A rationale
The High-Fowler’s position, with the client sitting upright at a 90-degree angle, is ideal for abdominal wound irrigation as it reduces the risk of fluid accumulation in the wound area and promotes drainage.
Choice B rationale
The side-lying position is not typically used for abdominal wound irrigation because it can cause pooling of the irrigation solution and does not facilitate easy access to the wound site.
Choice C rationale
The supine position, with the client lying flat on their back, is not suitable for abdominal wound irrigation as it can lead to fluid retention in the wound and does not aid in drainage.
Choice D rationale
The dorsal recumbent position, with the client lying on their back with knees bent, is also not optimal for abdominal wound irrigation due to the potential for fluid to collect in the wound area.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A:
While marijuana use can have various health effects, it is not typically associated with a reduction in functional hemoglobin.
Choice B:
A diet high in fats can lead to various health problems, such as heart disease and obesity, but it is not directly linked to a reduction in functional hemoglobin.
Choice C:
Smoking cigarettes can indeed lead to a reduction in functional hemoglobin. Smokers have higher blood hemoglobin concentrations than non-smokers. This is because smoking causes the body to increase red blood cell production to compensate for lower oxygen supply.
Choice D:
While excessive alcohol consumption can have numerous negative health effects, it is not typically associated with a reduction in functional hemoglobin.

Correct Answer is C
Explanation
Choice A rationale
Applying oxygen at 2 L/min via nasal cannula is not typically indicated in the initial stage of wound healing. Oxygen therapy is used for clients with respiratory distress or hypoxia, not as a standard wound care procedure.
Choice B rationale
Mechanical debridement is a method used to remove dead tissue from wounds, but it is not usually part of the initial wound care plan. Debridement is considered when there is necrotic tissue present that may impede healing.
Choice C rationale
Leaving non-bleeding wounds open to air can be beneficial during the initial stage of wound healing. Exposure to air can help to dry out the wound and prevent maceration of the surrounding skin. It also allows for the observation of the wound and easy access for dressing changes if needed.
Choice D rationale
Administering a corticosteroid medication is not a standard part of initial wound care. Corticosteroids can actually delay wound healing and are generally avoided unless there is a specific indication, such as an inflammatory skin condition.
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