A patient underwent an open bowel resection 2 days ago and the nurse's most recent assessment of the patient's abdominal incision reveals that it is dehiscing. What factor should the nurse suspect may have caused the dehiscence?
A) The patient's surgical dressing was changed yesterday and today.
B) The patient has vomited three times in the past 12 hours.
C) The patient has begun voiding on the commode instead of a bedpan.
D) The patient used PCA until this morning.
Ans: B
Feedback:
Vomiting can produce tension on wounds, particularly of the torso. Dressing changes and light mobilization are unlikely to cause dehiscence. The use of a PCA is not associated with wound dehiscence.
You might also like to view...
Unlike quantitative researchers, qualitative researchers never explore causal connections
A) True B) False
The nursing instructor is explaining critical thinking to a class of first-semester nursing students. What would be the best explanation of critical thinking the instructor could give?
A) Information gained from old medical records B) Examination and analysis of information from the family C) Information gained from the admission assessment D) Examination and analysis of all available information
Which age-related change in musculoskeletal structure or function would alert the nurse to an increased risk of fracture?
A. Kyphotic posture B. Cartilage thinning C. Decreased bone density D. Joint deformity
How does the nurse define a role?
a. Positive standard of behavior b. Accepted behavior standard c. Sexually linked standard d. Unchangeable standard