Which action is essential when assessing for drainage in a client with a large abdominal wound?
Feel the top of the client’s legs.
Examine area underneath the client.
Ask the client to cough forcefully.
Have the client sit up and lean forward.
The Correct Answer is B
This is essential because drainage from a large abdominal wound may collect under the client and be missed if only the dressing is inspected. The amount, color, and consistency of drainage should be documented and reported to the health care provider.
Choice A is wrong because feeling the top of the client’s legs will not help assess for drainage in a large abdominal wound.
Choice C is wrong because asking the client to cough forcefully may increase the risk of dehiscence (separation of wound edges) or evisceration (protrusion of internal organs through the wound) in a large abdominal wound.
Choice D is wrong because having the client sit up and lean forward may also increase the risk of dehiscence or evisceration in a large abdominal wound.
Normal ranges for wound drainage depend on the type, location, and size of the wound, as well as the stage of healing. Generally, drainage should decrease over time and change from bloody to serous.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This is because anti-embolism stockings are designed to prevent swelling and blood clots in the legs by applying graduated compression, which is tighter around the ankle and looser as it moves up the leg. Applying the stockings in the morning before any swelling occurs ensures a proper fit and optimal blood flow.
Choice A is wrong because massaging the legs can dislodge a blood clot and cause a pulmonary embolism.
Choice C is wrong because wetting the stockings can make them harder to apply and reduce their effectiveness.
Choice D is wrong because removing the stockings before bathing can increase the risk of swelling and clotting, and applying fresh ones afterward can be difficult and uncomfortable.
Correct Answer is D
Explanation
The question asks how many milligrams of the medication will be in 1 mL of D5W. To find this, we need to know the concentration of the medication in the solution.
Concentration is the amount of medication per unit volume of solution. We can use this formula:
Concentration = Mass / Volume
We know that 250 mg of the medication is diluted in 500 mL of D5W. So we can plug these values into the formula:
Concentration = 250 mg / 500 mL Simplifying, we get:
Concentration = 0.5 mg / mL
This means that there are 0.5 mg of the medication in every 1 mL of D5W. So the answer is
- To check our answer, we can use another formula:
Mass = Concentration x Volume
If we want to find the mass of the medication in 1 mL of D5W, we can multiply the concentration by the volume:
Mass = 0.5 mg / mL x 1 mL Simplifying, we get:
Mass = 0.5 mg
This matches our answer.
The other choices are wrong because they do not use the correct formula or values. Here is why:
Choice A is wrong because it uses the inverse of the concentration (1 / 0.5) instead of the concentration (0.5).
Choice B is wrong because it uses the mass of the medication (250 mg) instead of the concentration (0.5 mg / mL).
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