The nurse is caring for a patient who has experienced a total abdominal hysterectomy. Which nursing observation of the incision will indicate the patient is experiencing a complication of wound healing?
The site is hurting.
The site has started to itch.
The site is approximated.
The site has a mass, bluish in color.
The Correct Answer is D
A: Pain at the incision site is expected after surgery and does not necessarily indicate a complication. It is important to assess the level and nature of the pain, but pain alone is not a definitive sign of a wound healing complication.
B: Itching at the incision site can be a normal part of the healing process as the wound closes and new tissue forms. While it can be uncomfortable, it is not typically a sign of a complication.
C: An approximated incision means the edges of the wound are close together and healing well. This is a positive sign and indicates that the wound is healing properly.
D: A mass, bluish in color at the incision site, may indicate a hematoma or infection, both of which are complications of wound healing. This finding requires immediate medical attention to address the underlying issue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A: Obtaining a chest x-ray is important for diagnosing potential complications but is not the immediate first action to improve oxygen saturation.
B: Raising the head of the bed helps improve lung expansion and oxygenation. It is a quick and effective first step to increase oxygen saturation.
C: Administering a prescribed analgesic can help with pain management but does not directly address the low oxygen saturation.
D: Administering oxygen at 2 L/min is important but should follow the initial step of raising the head of the bed to optimize breathing.
Correct Answer is B
Explanation
A: Applying petroleum jelly to the client’s lips after oral care can help prevent dryness and cracking, but it is not the primary action to ensure safety during oral care.
B: Turning the client on his side before starting oral care is the correct action. This position helps prevent aspiration of fluids and secretions during the procedure, ensuring the client’s safety.
C: Using the thumb and index finger to keep the client’s mouth open is not safe or effective. A mouth prop or padded tongue blade should be used instead.
D: Using a stiff toothbrush can cause damage to the gums and oral tissues. A soft-bristled toothbrush is recommended for gentle and effective cleaning.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.