The sudden bursting open of the wound's edges is known as:

Dehiscence

Evisceration

Gaping

Distention

Answer and Explanation

The Correct Answer is A

Choice A reason: Dehiscence refers to the separation of layers of a surgical wound, which may be partial or complete.

Choice B reason: Evisceration is a more severe complication where the wound opens and internal organs may protrude.

Choice C reason: Gaping refers to a wound that is open but does not necessarily indicate the layers have separated, as in dehiscence.

Choice D reason: Distention generally refers to swelling or enlargement of an organ or area, not specifically to the opening of a wound.

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Correct Answer is C

Explanation

Choice A reason: Hypertension is not typically a direct complication of inhaled anesthetics.

Choice B reason: Urinary retention can occur postoperatively but is not specifically associated with inhaled anesthetics.

Choice C reason: Laryngospasm is a potential complication of inhaled anesthetics, which can occur due to irritation of the airway during anesthesia.

Choice D reason: Anxiety is not a complication of inhaled anesthetics; it is more likely to be associated with preoperative stress.

A. Observe the patient's nonverbal communication for data on the patient's thoughts and feelings. B. Maximize stimuli to create diversion from the anxiety. C. Discourage activities, as activities might only increase a patient's anxiety level. D. Document only positive changes in behavior. E. Encourage the patient to verbalize all thoughts and feelings. F. Observe for signs of suicidal thoughts.

Correct Answer is ["B","C","D"]

Explanation

Choice A reason: Observing nonverbal communication is a valid nursing intervention for assessing a patient's anxiety level.

Choice B reason: Maximizing stimuli can overwhelm a patient with anxiety and is not a recommended intervention.

Choice C reason: Discouraging activities is not recommended as activities can be a form of therapy for anxiety disorders.

Choice D reason: Documenting only positive changes is not appropriate as all changes, positive or negative, should be documented for a comprehensive understanding of the patient's condition.

Choice E reason: Encouraging patients to verbalize thoughts and feelings is a therapeutic intervention that can help manage anxiety.

Choice F reason: Observing for signs of suicidal thoughts is crucial as anxiety disorders can increase the risk of suicide.

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The sudden bursting open of the wound's edges is known as:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assisting in the care of a patient receiving an inhaled anesthetic. Which is a potential complication of inhaled anesthetics?

Correct Answer is C

Explanation

Which of the following are NOT nursing interventions for people with anxiety disorders? Select all that apply.

Correct Answer is ["B","C","D"]

Explanation

A patient is receiving IV fluids at 100 mL per hour. Which assessment findings would indicate fluid volume excess? (Select all that apply.)

A nurse is reinforcing preoperative teaching to a client who is undergoing total hip replacement surgery. Which of the following statements should the nurse include in the teaching?

A schizophrenic client is being assessed by the nurse. The client is demonstrating negative symptoms. Which symptoms should be considered negative? (select all that apply)

Which component of the Mental Health Status Examination focuses on the way a person experiences reality?

A nurse is reinforcing discharge teaching with an older adult client who has peripheral artery disease (PAD). Which of the following instructions should the nurse include in the teaching?

A nurse is caring for a client who is 5 days postoperative after abdominal surgery. The client reports a sudden pulling sensation and pain in his surgical incision. Upon examination, the nurse finds an evisceration. Which of the following interventions is appropriate?

A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following actions should the nurse take first?

A nurse is caring for a client who has obsessive-compulsive disorder (OCD) and is constantly picking up after others and cleaning in the day room. The nurse should recognize the client's actions as which of the following?