Which of the following interventions is important for preventing dehiscence of an abdominal incision?

Restricting fluid intake

Using a pillow to support the abdomen when coughing

Encouraging early ambulation

Administering high-dose corticosteroids

Answer and Explanation

The Correct Answer is B

A. Restricting fluid intake:
Adequate hydration is important for wound healing. Restricting fluids does not prevent dehiscence and may hinder recovery.

B. Using a pillow to support the abdomen when coughing:
This is called splinting the incision. It reduces stress on the wound during coughing or movement, helping prevent dehiscence.

C. Encouraging early ambulation:
Early ambulation promotes recovery and prevents complications like DVT or pneumonia, but does not directly prevent wound dehiscence.

D. Administering high-dose corticosteroids:
Corticosteroids impair wound healing and increase the risk of dehiscence. They are not preventative.

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Correct Answer is A

Explanation

A. Carotid:
Palpating both carotid arteries at the same time can occlude blood flow to the brain, potentially leading to fainting or loss of consciousness.

B. Femoral:
Femoral pulses can be palpated bilaterally without risk to cerebral circulation.

C. Popliteal:
Popliteal pulses are in the legs and can be checked simultaneously.

D. Brachial:
Brachial pulses are safe to assess bilaterally and often checked when comparing arm circulation.

A. Choose a finger with a capillary refill less than 2 sec. B. Obtain the oxygen saturation reading immediately after applying the sensor probe. C. Place the sensor probe on the same extremity as an electronic blood pressure cuff. D. Relocate the sensor every 8 hrs.

Correct Answer is A

Explanation

A. Choose a finger with a capillary refill less than 2 sec:
This ensures adequate peripheral perfusion, which is necessary for accurate pulse oximetry.

B. Obtain the oxygen saturation reading immediately after applying the sensor probe:
Wait a few seconds for the sensor to stabilize and detect accurate values.

C. Place the sensor probe on the same extremity as an electronic BP cuff:
A BP cuff can interfere with readings by restricting blood flow.

D. Relocate the sensor every 8 hrs:
Sensors should be relocated every 2–4 hours to prevent skin breakdown, especially in continuous monitoring.

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Which of the following interventions is important for preventing dehiscence of an abdominal incision?

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data about a client's circulatory system. Which of the following pulse sites should the nurse avoid checking bilaterally at the same time?

Correct Answer is A

Explanation

A nurse is obtaining an oxygen saturation on a client. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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