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 C

Explanation

A. Massage reddened areas during dressing changes:
Massaging reddened or compromised skin can worsen tissue damage and increase the risk of further injury.

B. Apply a heat lamp twice a day:
Heat lamps are not recommended and may dry out the wound bed or burn healing tissue.

C. Cleanse with 0.9% sodium chloride irrigation:
Normal saline is gentle and effective for cleaning granulating tissue without causing damage or cytotoxic effects.

D. Cleanse with povidone-iodine solution:
Povidone-iodine is cytotoxic and can impair wound healing, especially to new granulating tissue.

A. Determine the client's blood pressure 1 min after each position change. B. Assist the client into a standing position. C. Check the blood pressure with the client in a supine position. D. Place the client in a sitting position.

Correct Answer is C

Explanation

A. Determine the client’s BP 1 min after each position change:
This is done after the initial supine BP is obtained. It is not the first action.

B. Assist the client into a standing position:
This comes after checking the BP while the client is supine and sitting. Standing without prior measurements is unsafe.

C. Check the blood pressure with the client in a supine position:
Orthostatic hypotension is diagnosed by comparing BP in different positions; the baseline (supine) is always assessed first.

D. Place the client in a sitting position:
Sitting comes after the supine measurement. It is not the first step.

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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

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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