The nurse is assessing a patient's postoperative wound and finds it has separated from the suture line with extrusion of the intestine through the opening. How does the nurse document this finding?

Wound evisceration

Wound dehiscence

Wound infection

Wound tunneling

Answer and Explanation

The Correct Answer is A

Wound evisceration refers to the protrusion of internal organs or tissues through an open wound. In this case, with the separation of the wound and extrusion of the intestine through the opening, it is a clear indication of wound evisceration. It is a surgical emergency that requires immediate medical attention.

Wound dehiscence, on the other hand, refers to the separation or opening of a previously closed surgical incision or wound. It does not involve the extrusion of internal organs or tissues.

Wound infection refers to the presence of infectious microorganisms in the wound, leading to inflammation and other signs of infection.

Wound tunneling refers to the formation of narrow channels or tunnels within the wound, often caused by improper wound healing or infection.

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Correct Answer is D

Explanation

Gabapentin (Neurontin) is often used to treat neuropathic pain, including pain associated with peripheral neuropathy. It may also be used to manage other types of chronic pain, such as pain associated with fibromyalgia. While gabapentin is primarily an anticonvulsant medication, it is also used off-label for various other conditions, such as mood disorders and anxiety.

A. Urine output 200 mL over the last 4 hours. B. Decreasing serum albumin levels. C. Weight gain of 0.75 kg in the last 2 days. D. Sodium (Na) level 128 mEq/L.

Correct Answer is C

Explanation

Weight gain is a positive indicator of improved nutritional status. It suggests that the client is receiving adequate nutrition and their body is able to build up and retain weight. This is particularly important in the case of protein-calorie malnutrition, as it indicates that the client is receiving sufficient protein and calories to support their nutritional needs.

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The nurse is assessing a patient's postoperative wound and finds it has separated from the suture line with extrusion of the intestine through the opening. How does the nurse document this finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is receiving Gabapentin (Neurontin), an anticonvulsant, but has no history of seizures. The nurse expects that the patient is receiving this drug for which condition?

Correct Answer is D

Explanation

A client is admitted with protein-calorie malnutrition and is receiving supplemental feedings through a naso-duodenal tube. Which assessment finding indicates that the client's nutritional status is improving?

Correct Answer is C

Explanation

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