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The Nurse Is Caring for a Client Whose Wound Dehisces

Question 27
Multiple Choice

The nurse is caring for a client whose wound dehisces after vomiting.What is the nurse's first action? A) Prepare the client for emergency surgery. B) Cover the wound with sterile moist dressings. C) Give the client medication for nausea. D) Call the surgeon and the operating room.

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Q 28
The nurse is changing the dressing on a postoperative client's abdominal incision.A Jackson-Pratt (JP)drain is present,along with a moderate amount of serosanguineous drainage.What is the best product for the nurse to use in performing wound care? A) Half hydrogen peroxide and half sterile saline B) Sterile water and antibacterial ointment C) Betadine swabs or alcohol wipes D) Sterile normal saline
Q 29
The nurse is preparing a client for discharge.The client has a large draining wound.What is the nurse's best action? A) Arrange a nurse to come to the house to change the dressing after discharge. B) Have the client come back to the clinic daily to have the dressing changed. C) Teach the client and family how to change the dressing. D) Apply a hydrocolloid dressing and change once a week.
Q 30
A postsurgical client's urinary output via the Foley catheter is 30 mL in 3 hours.What is the nurse's first action? A) Increase the IV infusion rate. B) Assess the client's skin turgor. C) Weigh the client. D) Check the patency of the catheter.
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