The nurse is caring for a patient who has experienced a total abdominal hysterectomy. Which nursing observation of the incision will indicate the patient is experiencing a complication of wound healing?

The site is hurting.

The site has started to itch.

The site is approximated.

The site has a mass, bluish in color.

Answer and Explanation

The Correct Answer is D

A: Pain at the incision site is expected after surgery and does not necessarily indicate a complication. It is important to assess the level and nature of the pain, but pain alone is not a definitive sign of a wound healing complication.

B: Itching at the incision site can be a normal part of the healing process as the wound closes and new tissue forms. While it can be uncomfortable, it is not typically a sign of a complication.

C: An approximated incision means the edges of the wound are close together and healing well. This is a positive sign and indicates that the wound is healing properly.

D: A mass, bluish in color at the incision site, may indicate a hematoma or infection, both of which are complications of wound healing. This finding requires immediate medical attention to address the underlying issue.

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Correct Answer is D

Explanation

A: The statement “Benefit may outweigh the risk” is more applicable to Pregnancy Risk Category D or X drugs, where there is evidence of risk but potential benefits may justify use in certain situations.

B: Studies showing fetal risk are associated with Pregnancy Risk Category D or X drugs. Category A drugs have not shown fetal risk in controlled studies.

C: Drugs that are contraindicated in pregnant women fall under Pregnancy Risk Category X, where the risks clearly outweigh any potential benefits.

D: Fetal harm is unlikely for Pregnancy Risk Category A drugs. These drugs have been tested in controlled studies and have not shown any risk to the fetus, making them safe for use during pregnancy.

A. Place the client supine with knees bent. B. Raise the head of the client’s bed 15 to 20 degrees. C. Assess the client for manifestations of shock. D. Cover the area with a sterile dressing moistened with 0.9% sodium chloride irrigation.

Correct Answer is D

Explanation

A: Placing the client supine with knees bent can help reduce strain on the abdominal area but is not the immediate first action.

B: Raising the head of the client’s bed 15 to 20 degrees is not the priority action in this situation.

C: Assessing the client for manifestations of shock is important but should follow the immediate action of protecting the eviscerated wound.

D: Covering the area with a sterile dressing moistened with 0.9% sodium chloride irrigation is the correct first action. This helps protect the exposed organs and tissues from contamination and keeps them moist until surgical intervention can be performed.

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The nurse is caring for a patient who has experienced a total abdominal hysterectomy. Which nursing observation of the incision will indicate the patient is experiencing a complication of wound healing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering medication to a pregnant patient. After looking up the medication, the nurse determines the medication is categorized as a Pregnancy Risk Category A. What is true of Pregnancy Risk Category A drugs?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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