The nurse is assessing a patient's postoperative wound and finds it has separated from the suture line with extrusion of the intestine through the opening. How does the nurse document this finding?

Wound evisceration

Wound dehiscence

Wound infection

Wound tunneling

Answer and Explanation

The Correct Answer is A

Wound evisceration refers to the protrusion of internal organs or tissues through an open wound. In this case, with the separation of the wound and extrusion of the intestine through the opening, it is a clear indication of wound evisceration. It is a surgical emergency that requires immediate medical attention.

Wound dehiscence, on the other hand, refers to the separation or opening of a previously closed surgical incision or wound. It does not involve the extrusion of internal organs or tissues.

Wound infection refers to the presence of infectious microorganisms in the wound, leading to inflammation and other signs of infection.

Wound tunneling refers to the formation of narrow channels or tunnels within the wound, often caused by improper wound healing or infection.

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Correct Answer is A

Explanation

Recombinant human erythropoietin is a medication commonly used in the treatment of anemia associated with chronic renal failure. It stimulates the production of red blood cells in the bone marrow, helping to improve anemia.

The other statements mentioned do not accurately reflect the expected outcomes or effects of recombinant human erythropoietin:

Chronic renal failure leads to impaired kidney function, and while recombinant human erythropoietin can help address anemia, it does not directly improve creatinine (Cr) and blood urea nitrogen (BUN) levels, which are markers of kidney function.

Furosemide is a diuretic commonly used in the management of fluid retention in renal failure. Recombinant human erythropoietin does not replace or eliminate the need for diuretic therapy.

Chronic renal failure typically involves decreased kidney function and impaired urine production. Recombinant human erythropoietin does not directly affect urine output.

A. The patient uses crutches with a swing-to gait. B. The patient sits straight up on the edge of the bed. C. the patient bends over the sink while brushing teeth. D. The patient leans forward to pull on shoes and socks

Correct Answer is C

Explanation

The patient bending over the sink while brushing teeth requires intervention by the nurse. After hip arthroplasty using the posterior approach, the patient should avoid bending at the hip greater than 90 degrees to prevent dislocation of the prosthesis. The nurse should instruct the patient to bend at the knees instead of the hips while brushing teeth or doing any other activity that requires bending. The other actions mentioned in the options are appropriate for a patient after hip arthroplasty.

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The nurse is assessing a patient's postoperative wound and finds it has separated from the suture line with extrusion of the intestine through the opening. How does the nurse document this finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a client with chronic renal failure (CRF) about the use of recombinant human erythropoietin (Epogen) Subcutaneous injections. Which statement indicates the client understands the teaching?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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