Author Question: A client uses the call light and reports that while coughing, the surgical wound opened up, with ... (Read 31 times)

scienceeasy · **on:** Jul 22, 2018

A client uses the call light and reports that while coughing, the surgical wound opened up, with stuff falling through. The nurse anticipates which complication of wound healing?

1. Hemorrhage
2. Infection
3. Evisceration
4. Dehiscence

Question 2

The nurse enters the client's room to find that the spouse of the client is very angry. The spouse is shouting and making angry gestures.

While attempting to diffuse the spouse's anger, the nurse maintains safety by doing which of the following? 1. Enter the room and stand close to the spouse.
2. Stand near the doorway to talk to the spouse.
3. Sit by the spouse.
4. Have the spouse come into the hall to talk.

janeli1 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3
Rationale: hemorrhage is persistent bleeding that may be caused by a dislodged clot, slipped suture, or erosion of a blood vessel

Answer to Question 2

2
Rationale 1: The safest position is near the doorway, so the nurse has a clear path out of the room if the spouse threatens to become violent. Under no circumstances should the student stand close to the spouse, because it might be interpreted as threatening or invading personal space, making the spouse angrier. Sitting down makes a quick exit difficult should it become necessary. Inviting the client out to the hallway exposes others to potential danger and reduces confidentiality of the things the spouse is discussing.