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A nurse is caring for a patient who is postoperative following abdominal surgery.
The nurse discovers a loop of bowel protruding through an opening in the surgical incision. What should the nurse do?

A.

Gently reinsert the bowel back into the patient’s wound.

B.

Place the head of the patient’s bed in the flat position.

C.

Apply moistened sterile gauze to the site.

D.

Position the patient on his left side.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Gently reinserting the bowel back into the patient’s wound is not recommended. This could cause further harm to the patient.

Choice B rationale

Placing the head of the patient’s bed in the flat position is not the best action. This position may not provide the necessary comfort or safety for the patient.

Choice C rationale

Applying moistened sterile gauze to the site is the correct action. This helps to protect the protruding bowel and prevent further contamination until surgical intervention can be performed.

Choice D rationale

Positioning the patient on his left side is not the best action in this situation. It does not directly address the issue of the protruding bowel.


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Related Questions

Correct Answer is ["1160"]

Explanation

Step 1: Convert All Fluid Intake to Milliliters (mL)

To accurately record the patient's fluid intake, first, convert each fluid measurement to milliliters:

  • 1 cup of coffee = 240 mL
  • 4 oz of orange juice = 118.3 mL
  • 3 oz of water = 88.7 mL
  • 1 cup of flavored gelatin = 236.6 mL
  • 1 cup of tea = 240 mL
  • 5 oz of broth = 147.9 mL
  • 3 oz of water (another serving) = 88.7 mL

Step 2: Calculate Total Fluid Intake

Add all the converted fluid amounts together:

  • Total fluid intake = 240 mL (coffee) + 118.3 mL (orange juice) + 88.7 mL (water) + 236.6 mL (gelatin) + 240 mL (tea) + 147.9 mL (broth) + 88.7 mL (water) = 1,160.2 mL

Step 3: Round to the Nearest Whole Number

Round the total to the nearest whole number:

  • Rounded total = 1,160 mL

The nurse should record 1,160 mL on the patient’s chart.

Correct Answer is A

Explanation

Choice A rationale

Finasteride, a medication used to treat benign prostatic hypertrophy, can cause several side effects, including a decrease in libido or sexual desire.

Choice B rationale

There’s no specific interaction between finasteride and grapefruit juice. Therefore, patients don’t need to avoid grapefruit juice when taking this medication.

Choice C rationale

Finasteride can actually cause a decrease in PSA (prostate-specific antigen) levels. If a patient is having a PSA test, they should tell their doctor they are taking finasteride because it can affect the results.

Choice D rationale

It may take up to six months or more to see the full effects of finasteride. Therefore, patients should not expect to see a response within one week.

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