A male client who had abdominal surgery 5 days ago and was hospitalized because of a wound infection tells the nurse that he feels like his insides just spilled out when he coughed. Which action should the nurse take first?

Visualize the abdominal incision.

Notify the healthcare provider.

Obtain sterile towels soaked in saline.

Assure the client that such feelings occur with wound infections.

Answer and Explanation

The Correct Answer is A

Choice A reason:

The correct answer is a) because visualizing the abdominal incision will help the nurse assess for wound dehiscence or evisceration, which requires immediate intervention.

Choice B reason: Notifying the healthcare provider is necessary but comes after assessing the wound.

Choice C reason: Obtaining sterile towels soaked in saline is important if dehiscence or evisceration is confirmed but is not the first action.

Choice D reason: Reassuring the client is important but does not address the immediate need to assess the wound.

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Correct Answer is ["200"]

Explanation

Calculation steps:

Step 1: Determine the total volume to be infused. 100 mL

Step 2: Determine the time for infusion. 30 minutes

Step 3: Convert time to hours. 30 minutes ÷ 60 minutes/hour Result: 0.5 hours

Step 4: Calculate the rate in mL/hour. 100 mL ÷ 0.5 hours Result: 200 mL/hour

A. Eat high-potassium foods. B. Select a protein-rich food daily. C. Avoid foods high in carbohydrates. D. Restrict sodium intake.

Correct Answer is D

Explanation

Choice A reason: High-potassium foods should be monitored but are not the primary concern for AGN.

Choice B reason: Protein intake should be managed but not necessarily increased.

Choice C reason: Avoiding high-carbohydrate foods is not specific to AGN management.

Choice D reason:

The correct answer is d) because restricting sodium intake helps manage fluid retention and hypertension, which are common issues in AGN.

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A male client who had abdominal surgery 5 days ago and was hospitalized because of a wound infection tells the nurse that he feels like his insides just spilled out when he coughed. Which action should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["200"]

Explanation

When explaining dietary guidelines to a client with acute glomerulonephritis (AGN), which instruction should the nurse include in the dietary teaching?

Correct Answer is D

Explanation

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