Which of these findings if seen in a postoperative patient should the nurse associate with dehiscence?
a. Complaint by patient that something has given way
b. Protrusion of visceral organs through a wound opening
c. Chronic drainage of fluid through the incision site
d. Drainage that is odorous and purulent
A
occurs is when a wound fails to heal properly and the layers of skin and tissue separate. It involves abdominal surgical wounds and occurs after a sudden strain such as coughing, vomiting, or sitting up in bed. Patients often report feeling as though something has given way. Evisceration is seen when vital organs protrude through a wound opening. A fistula is an abnormal passage between two organs or between an organ and the outside of the body that can be characterized by chronic drainage of fluid. Infection is characterized by drainage that is odorous and purulent.
You might also like to view...
When a client with heart failure is receiving loop diuretics, the nurse would be sure to monitor serum
a. calcium levels. b. enzyme levels. c. potassium levels. d. sodium levels.
The nurse is preparing to analyze a patient's electrocardiogram (ECG) rhythm strip. In which order should the nurse complete this analysis? Place the six steps in the correct order
1. Determine rate. 2. Assess P wave. 3. Determine regularity. 4. Identify abnormalities. 5. Assess P-to-QRS relationship. 6. Determine interval durations.
The primary care provider is performing a fetal scalp stimulation test. What result would the nurse hope to observe? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Spontaneous fetal movement 2. Fetal heart acceleration 3. Increase in fetal heart variability 4. Resolution of late decelerations 5. Reactivity associated with the stimulation
A nurse is providing home care to an aging client whose has Medicare insurance. What should the nurse explain to the client regarding the benefits of Medicare insurance?
A) Moving to senior care centers B) Replacing care provided by the family C) Obtaining skilled nursing or therapy D) Obtaining payment for personal care services