A nurse is caring for a patient who is postoperative following abdominal surgery.
The nurse discovers a loop of bowel protruding through an opening in the surgical incision. What should the nurse do?

Gently reinsert the bowel back into the patient’s wound.

Place the head of the patient’s bed in the flat position.

Apply moistened sterile gauze to the site.

Position the patient on his left side.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Gently reinserting the bowel back into the patient’s wound is not recommended. This could cause further harm to the patient.

Choice B rationale

Placing the head of the patient’s bed in the flat position is not the best action. This position may not provide the necessary comfort or safety for the patient.

Choice C rationale

Applying moistened sterile gauze to the site is the correct action. This helps to protect the protruding bowel and prevent further contamination until surgical intervention can be performed.

Choice D rationale

Positioning the patient on his left side is not the best action in this situation. It does not directly address the issue of the protruding bowel.

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Free Nursing Study Resources

Correct Answer is D,A,F,C,E,B

Explanation

The correct sequence for pouring a sterile solution is: D, A, F, C, E, B

A. “I stopped taking aspirin last week.”. B. “I took my blood pressure meds with a sip of water.”. C. “I did not put my contact lenses in this morning.”. D. “I had a cough and runny nose a couple days ago.”. .

Correct Answer is D

Explanation

Choice A rationale

Stopping aspirin a week before surgery is generally recommended to reduce the risk of bleeding. Aspirin can inhibit platelet aggregation and prolong bleeding time.

Choice B rationale

Taking prescribed blood pressure medication with a sip of water on the day of surgery is usually allowed. However, this can depend on the specific medication and the patient’s health status.

Choice C rationale

Not wearing contact lenses on the day of surgery is a standard preoperative instruction. This is because contact lenses can interfere with anesthesia administration and potentially cause injury to the eyes.

Choice D rationale

A recent cough and runny nose could indicate a respiratory infection. This could potentially increase the risk of complications during surgery and may need to be evaluated further. OK. Let’s go through these questions one by one:

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A nurse is caring for a patient who is postoperative following abdominal surgery. The nurse discovers a loop of bowel protruding through an opening in the surgical incision. What should the nurse do?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting a healthcare provider with a sterile procedure and is preparing to pour solution onto a sterile piece of gauze. In what sequence should the nurse perform the following steps when pouring the sterile solution?

Correct Answer is D,A,F,C,E,B

Explanation

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Correct Answer is D

Explanation

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A nurse is caring for a patient who is postoperative following abdominal surgery.
The nurse discovers a loop of bowel protruding through an opening in the surgical incision. What should the nurse do?