The nurse enters a client's room to find that his abdominal wound has eviscerated. Which intervention should the nurse implement first?

Apply a sterile normal saline dressing

Use sterile gloves to replace the protruding parts

Administer IV antibiotics STAT

Place the client in reverse Trendelenburg position

Answer and Explanation

The Correct Answer is A

A. if a client's abdominal wound has eviscerated, the first intervention should be to apply a sterile normal saline dressing to the area and then seek immediate medical assistance.

B. Using sterile gloves to replace the protruding parts is not recommended since it can result in further damage of the organs.

C. Administering IV antibiotics may be indicated later but is not the first priority.

D. Placing the client in reverse Trendelenburg position is not the first priority and may not be appropriate for managing evisceration.

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Correct Answer is C

Explanation

A. Taking a walk around the block every afternoon can promote physical activity and cardiovascular health, which is beneficial for clients with cardiopulmonary disease.

B. Avoiding places where people are smoking is important for reducing exposure to secondhand smoke, which can exacerbate cardiopulmonary symptoms.

C. Shoveling snow can be strenuous and may exacerbate cardiopulmonary symptoms, especially for individuals with severe disease.

D. Decreasing intake of snack foods can contribute to a healthier diet, which may benefit overall health and management of cardiopulmonary disease.

A. Encourage eating potassium rich foods B. Monitor intake and output C. Restrict sodium in the diet D. Monitor vital signs E. Decrease water intake

Correct Answer is ["B","C","D"]

Explanation

A. Encouraging potassium-rich foods is not directly related to the treatment of hypernatremia.

B. Monitoring intake and output is important to assess fluid balance, especially in clients with hypernatremia.

C. Restricting sodium in the diet is essential to prevent further elevation of sodium levels in hypernatremia.

D. Monitoring vital signs helps assess the client's overall condition and response to treatment.

E. Decreasing water intake is not advisable in hypernatremia, since one of the causes of hypernatremia is dehydration. Therefore, limiting water intake may worsen the hypernatremia.

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The nurse enters a client's room to find that his abdominal wound has eviscerated. Which intervention should the nurse implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is ["B","C","D"]

Explanation

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