A postoperative patient experiences separation of the layers of his abdominal surgical wound during coughing. Separation of the layers of a surgical wound is known as

dehiscence

laceration

evisceration

autologous

Answer and Explanation

The Correct Answer is A

A. Dehiscence: Dehiscence refers to the partial or total separation of the wound's layers, often occurring after surgery, such as when coughing increases intra-abdominal pressure.

B. Laceration: A laceration refers to a tear or break in the skin due to trauma, not a surgical complication.

C. Evisceration: Evisceration occurs when the internal organs protrude through the wound, which is a more severe complication than dehiscence.

D. Autologous: Autologous refers to using a person's own tissues or cells (e.g., blood transfusion), not a wound complication.

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Correct Answer is C

Explanation

A. Allow the patient to be taken to surgery after notifying the circulating nurse. The patient should not proceed to surgery with an incorrect name on the consent form, even if the circulating nurse is informed.

B. Inform the surgeon of the error. While notifying the surgeon is important, the primary action is to obtain a corrected consent form.

C. Request a corrected consent form to be signed. A surgical consent form must be accurate. A new, correctly spelled form should be obtained before surgery to ensure legal and ethical compliance.

D. Have the new form attached to the old incorrect one and document it. Attaching a new form does not resolve the error; a corrected and properly signed form is required before surgery proceeds.

A. ease the stiffness from being on the operating table. B. decrease pain from immobile extremities. C. increase venous return and decrease stasis. D. increase activity to help prevent atelectasis.

Correct Answer is C

Explanation

A. Ease the stiffness from being on the operating table. While leg exercises can help relieve stiffness, their primary purpose is not to address the stiffness from surgery but to improve circulation and prevent complications.

B. Decrease pain from immobile extremities. Leg exercises may reduce discomfort associated with immobility, but the main goal is to prevent complications such as blood clots or deep vein thrombosis (DVT).

C. Increase venous return and decrease stasis. Leg exercises are primarily aimed at improving venous return to the heart and reducing the risk of stasis, which can lead to complications like DVT.

D. Increase activity to help prevent atelectasis. While increasing activity is important for overall recovery, leg exercises are more focused on circulation and preventing blood clots, not directly preventing atelectasis (a condition where the lungs partially collapse).

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Naxlex Comprehensive Predictor Exams

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