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. Decrease the temperature in the client’s room:
This would worsen hypothermia. The room should be warm.

B. Place a cooling fan near the client:
Cooling is used for fevers, not hypothermia.

C. Place a warming blanket over the client:
This is a first-line intervention for mild hypothermia. It helps raise the core temperature.

D. Request a prescription for an antipyretic medication:
Antipyretics are used to reduce fever, not to treat hypothermia.

A. Adequate hydration B. Chronic diseases C. Elevated blood pressure D. Regular exercise routine

Correct Answer is B

Explanation

A. Adequate hydration:
Adequate hydration helps maintain skin integrity and reduces the risk of pressure injury.

B. Chronic diseases:
Conditions like diabetes, vascular disease, and immobility compromise tissue perfusion and healing, increasing pressure injury risk.

C. Elevated blood pressure:
Elevated BP alone doesn't directly increase risk for pressure injuries; poor perfusion (as in low BP) is a greater risk.

D. Regular exercise routine:
Exercise promotes circulation and mobility, decreasing the risk of pressure injuries.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a rectal temperature of 35° C (95° F). Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is collecting data on a client. Which of the following findings increase the client's risk for developing a pressure injury?

Correct Answer is B

Explanation

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