The nurse assesses that a client's abdominal wound has dehisced. The first thing that the nurse should do is:
a. apply sterile gauze or a pad soaked with sterile normal saline over the wound area that has dehisced.
b. place the client in a flat position.
c. ask the client to deep breathe and cough.
d. apply a dry gauze dressing over the area that has dehisced.
ANS: A
You might also like to view...
What medication is a first-line therapy in treating bronchospasm?
a. Racemic epinephrine c. Albuterol b. Methylprednisolone d. Morphine
The loss of someone or something, such as the death of a loved one or the theft of one's property, represents what kind of loss?
a. actual c. situational b. anticipated d. perceived
A nurse is planning the care of a client who will soon begin radiotherapy for the treatment of breast cancer. The nurse has been identifying interventions that are rooted in the notion of holism, which states that:
A) Interactions between the mind and the body can profoundly influence health. B) An individual's medical diagnosis has local, but not systemic, effects. C) Most physical illnesses do not require pharmacologic interventions or surgery. D) A client's illness affects friends and family in the same way that the client is affected.
Informed consent is not obtained when:
A) The researcher pays the subjects a stipend B) The researcher collects information covertly C) The risk/benefit ratio is low D) The study is not reviewed by an IRB