Many factors aid in healing. You can assist the patient in improving their healing ability by encouraging the following (Select all that apply):
Keeping skin and surrounding tissue clean and dry.
Proper nutrition with adequate protein and vitamins.
Resting as much as possible and keeping the incisional area still.
Increasing fluid intake to at least 4000 mL per day.
Exercise and deep breathing to increase oxygen.
Correct Answer : A,B,C,E
Choice A rationale
Keeping the skin and surrounding tissue clean and dry helps prevent infection, which is crucial for proper wound healing. A clean environment is less likely to harbor bacteria that can cause complications.
Choice B rationale
Proper nutrition, particularly adequate protein and vitamins, provides the necessary building blocks for tissue repair and supports the immune system, which is essential for healing.
Choice C rationale
Resting and minimizing movement of the incisional area help prevent further injury and allow the body’s resources to focus on the healing process.
Choice D rationale
While fluid intake is important, 4000 mL per day may be excessive unless specifically recommended for the patient’s condition. Overhydration can be harmful.
Choice E rationale
Exercise and deep breathing increase blood flow and oxygenation to tissues, which are vital for healing. Oxygen is needed for cellular functions that repair tissue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A:
This position would not be ideal for right eye irrigation. Tilting the head towards the left eye could cause the irrigation solution to flow into the left eye, potentially causing discomfort or harm⁵.
Choice B:
While the supine position is correct, hyperextending the head is not necessary and could cause discomfort to the patient.
Choice C:
This position could cause discomfort to the patient and does not facilitate the flow of the irrigation solution away from the nose and mouth.
Choice D:
This is the correct position for right eye irrigation. The supine position with the head tilted toward the right eye allows the solution to flow away from the nose and mouth, preventing aspiration or discomfort.
Correct Answer is D
Explanation
Choice A rationale
Tegaderm or Opsite dressings are transparent and adhesive, allowing for wound inspection without removal, but they do not involve tape that remains in place for multiple changes.
Choice B rationale
Abdominal pads held in place with paper tape would require the tape to be removed and replaced with each dressing change, which can disrupt the skin.
Choice C rationale
The term ‘retention’ is incomplete and does not specify a type of dressing. Retention typically refers to the ability to keep something in place, such as a dressing, but does not imply that the tape remains in place.
Choice D rationale
Montgomery straps are designed with ties that attach to an adhesive base that remains on the skin. This allows the dressing to be changed without removing and reapplying tape, thus preventing skin disruption.
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