The nurse warns the patient that one of the patient’s habits has caused the reduction of functional hemoglobin, which limits the hemoglobin’s oxygen-carrying ability. To improve this situation, the nurse suggests that the patient quit:

Choice A rationale
Applying oxygen at 2 L/min via nasal cannula is not typically indicated in the initial stage of wound healing. Oxygen therapy is used for clients with respiratory distress or hypoxia, not as a standard wound care procedure.

Choice B rationale
Mechanical debridement is a method used to remove dead tissue from wounds, but it is not usually part of the initial wound care plan. Debridement is considered when there is necrotic tissue present that may impede healing.

Choice C rationale
Leaving non-bleeding wounds open to air can be beneficial during the initial stage of wound healing. Exposure to air can help to dry out the wound and prevent maceration of the surrounding skin. It also allows for the observation of the wound and easy access for dressing changes if needed.

Choice D rationale
Administering a corticosteroid medication is not a standard part of initial wound care. Corticosteroids can actually delay wound healing and are generally avoided unless there is a specific indication, such as an inflammatory skin condition.

Choice A rationale
While an abdominal binder may be helpful postoperatively, it is not the immediate intervention for a patient who feels that ‘something just let go’ after surgery.

Choice B rationale
Seating the patient in a nearby chair is not the best initial action as it may increase abdominal pressure and potentially worsen any underlying issue.

Choice C rationale
Instructing the patient to pant is not an appropriate response to a potential complication from surgery, such as dehiscence or evisceration.

Choice D rationale
The best initial action is to assist the patient into a supine position to minimize tension on the abdominal incision, reduce the risk of further injury, and assess the situation.