A nurse is caring for client who is 5 days postoperative after abdominal surgery. The client reports a sudden pulling sensation and pain in his surgical incision. The nurse checks the client's surgical wound and finds an evisceration. Which of the following interventions is appropriate?

Use sterile gloves to place gentle pressure on the exposed organs.

Have the client lie supine with legs straight.

Cover the area with saline-soaked sterile dressings.

Gently suction secretions from the wound bed using a 12 gauge sterile catheter.

Answer and Explanation

The Correct Answer is C

A. Placing pressure on exposed organs is not appropriate and could cause further damage.

B. Having the client lie supine with legs straight could increase tension on the abdominal wound and exacerbate the evisceration.

C. Covering the eviscerated organs with saline-soaked sterile dressings is the correct intervention to protect the organs from infection and prevent them from drying out while waiting for emergency surgical intervention.

D. Suctioning secretions from the wound bed is not appropriate and could cause additional trauma to the exposed organs.

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Free Nursing Study Resources

Correct Answer is ["1.5"]

Explanation

To calculate the volume of morphine injection required to administer a dose of 15 mg when the available concentration is 10 mg/mL, the nurse should use the formula: Volume (mL) = Dose (mg) / Concentration (mg/mL). Plugging in the values, the calculation would be: Volume (mL) = 15 mg / 10 mg/mL. This simplifies to 1.5 mL.

A. Keep artificial nails trimmed short. B. Change gloves between tasks on the same client. C. Use alcohol-based hand rubs before administering eye drops for a client D. Wash hands with alcohol-based hand rubs when caring for a client who has Clostridium difficile.

Correct Answer is B

Explanation

A. Artificial nails, even if trimmed short, are discouraged in healthcare settings because they can harbor bacteria and increase the risk of infection.

B. Changing gloves between tasks on the same client is crucial to prevent cross-contamination and reduce the risk of spreading pathogens between different areas of the client’s body or different tasks.

C. Alcohol-based hand rubs are appropriate before administering eye drops; however, the correct answer is more focused on direct infection control practices like changing gloves.

D. When caring for a client with Clostridium difficile, hand washing with soap and water is required, not alcohol-based hand rubs, as alcohol is not effective against C. difficile spores.

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A nurse is caring for client who is 5 days postoperative after abdominal surgery. The client reports a sudden pulling sensation and pain in his surgical incision. The nurse checks the client's surgical wound and finds an evisceration. Which of the following interventions is appropriate?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer morphine 15 mg subcutaneously. The amount available is morphine injection 10 mg/mL. How many mL should the nurse administer? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["1.5"]

Explanation

A nurse is reinforcing infection control practices for hand hygiene with a group of unit nurses. Which of the following information should the nurse reinforce in the teaching?

Correct Answer is B

Explanation

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