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

A.

Restricting fluid intake

B.

Using a pillow to support the abdomen when coughing

C.

Encouraging early ambulation

D.

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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Related Questions

Correct Answer is C

Explanation

A. Full thickness skin loss with visible bone:
This describes a stage 4 pressure injury.

B. Full thickness skin loss with visible adipose tissue:
This describes a stage 3 pressure injury.

C. Partial-thickness skin loss with red tissue in wound bed:
Stage 2 pressure injuries involve partial-thickness skin loss, sometimes with a pink or red wound bed and may include blistering.

D. Intact skin with localized erythema:
This describes a stage 1 pressure injury.

Correct Answer is B

Explanation

A. Hydrofiber dressing:
Hydrofiber dressings are designed for moderate to heavy exudate, not dry or non-exudative wounds.

B. Transparent-film dressing:
Transparent-film dressings are ideal for superficial, non-draining wounds like skin tears. They protect the area while allowing for oxygen exchange and visualization of the wound.

C. Alginate dressing:
Alginate dressings are highly absorbent and used for moderate to heavy exudating wounds, not for dry superficial tears.

D. Foam dressing:
Foam dressings are best for wounds with exudate. They are thicker and may not adhere well to superficial skin tears without drainage.

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