A nurse is caring for a client who had abdominal surgery 3 days ago.
Exhibits
Select words from the choices below to fill in each blank in the following
sentence.
The client is at risk for developing Target 1 dropdown Target 2 dropdown and ___Target 3 dropdown .
The Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"E","dropdown-group-3":"B"}
Wound infection: The presence of purulent drainage and redness at the incision site indicates a risk for infection, especially given the client's surgical history and risk factors (obesity, diabetes).
Dehiscence: The noted separation of the top edges of the incision and stretched upper staples increases the risk of dehiscence, which can occur due to tension, infection, or inadequate healing.
Pneumonia: The client is febrile, has crackles upon auscultation, and may be at risk for pneumonia due to decreased mobility and shallow breathing, which can occur post-surgery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The first priority is to protect the wound by covering it with a moist, sterile dressing to prevent further contamination and to stabilize the area until further intervention.
B. Checking the client's vital signs is important, but stabilizing the wound takes precedence.
C. Assessing pain is necessary but not the immediate priority in this situation.
D. A wound culture can be taken later, after covering the wound and ensuring immediate safety.
Correct Answer is D
Explanation
A. Increased thirst is more commonly associated with dehydration or conditions like diabetes, not urinary tract infections (UTIs).
B. Chest pain is unrelated to UTIs and is more concerning for cardiac issues.
C. Fever can occur with more severe or systemic infections (such as pyelonephritis), but it is not a primary or early symptom of a simple UTI.
D. Painful urination (dysuria) is a hallmark symptom of a urinary tract infection, commonly experienced due to irritation and inflammation of the urinary tract.
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