The nurse is caring for a patient one week post-surgery.
Which finding should the nurse expect to see if the surgical incision is healing properly?
Eschar and slough in the wound.
Beety red granulation tissue.
Erythema and serosanguineous drainage.
A well-approximated incision.
The Correct Answer is D
A well-approximated incision means that the edges of the wound are close together and aligned properly, which is a sign that the surgical incision is healing properly.
Choice A is incorrect because eschar and slough in the wound are not signs of proper healing.
Choice B is incorrect because beety red granulation tissue is not a sign of proper healing.
Choice C is incorrect because erythema and serosanguineous drainage are not signs of proper healing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Inject in abdominal area at least 2 inches from the umbilicus.
When administering subcutaneous heparin injections, it is important to choose an injection site on either your tummy or outer areas of your left or right thigh.
Your tummy is usually best as the injection site and it is important that you change the site each time 1.
The heparin needs to go into the fat layer under the skin 2.
Choice B is incorrect because injections should not be rotated between the abdomen and gluteal areas.
Choice C is incorrect because massaging the injection site is not recommended.
Choice D is incorrect because air bubbles in a pre-filled syringe should not be expelled prior to injection 2.
Correct Answer is C
Explanation
This response shows that the nurse is willing to listen and provide support to the client.
It also allows the client to decide if they want to talk and share their feelings.
Choice A is not correct because it is not the most therapeutic response.
While it does encourage the client to talk about their visit with their significant other, it does not show that the nurse is willing to listen and provide support.
Choice B is not correct because it is not the most therapeutic response.
While it does acknowledge that the client may be feeling lonely, it does not show that the nurse is willing to listen and provide support.
Choice D is not correct because it is not the most therapeutic response.
While it does encourage the client to talk about their visit, it does not show that the nurse is willing to listen and provide support.
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