Author Question: The nurse is concerned that the patient's abdominal wound is at risk for dehiscence. Which of the ... (Read 57 times)

cookcarl · **on:** Jul 22, 2018

The nurse is concerned that the patient's abdominal wound is at risk for dehiscence. Which of the following interventions is the best one to prevent this complication?

a. Administering antibiotics to prevent infection
b. Using appropriate sterile technique when changing the dressing
c. Keeping sterile towels and extra dressing supplies near the patient's bed
d. Placing a pillow over the incision site when the patient is deep breathing or coughing

Question 2

A patient has just been informed by her physician that she has cancer. The patient says that she is not ready to discuss this with her family.

The nurse encourages the patient to consider sharing the information with her family so that the family can support her through the decisions she will need to make regarding her care. Which following principle must the nurse be careful not to breach? a. Confidentiality
b. Fidelity
c. Veracity
d. Justice

Expo · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D

Feedback
A A patient who has an infection is at risk for poor wound healing and dehiscence. However, prophylactic use of antibiotics is not the best intervention to prevent dehiscence.
B Using appropriate sterile technique is always important to prevent the development of infection. However, it is not the best intervention to prevent dehiscence.
C Keeping sterile towels and extra dressings at the patient's bedside will not prevent wound dehiscence.
D A strategy to prevent dehiscence is to use a folded thin blanket or pillow placed over an abdominal wound when the patient is coughing. This provides a splint to the area, supporting the healing tissue when coughing increases the intra-abdominal pressure.

Answer to Question 2

A

Feedback
A The nurse should recognize the importance of privacy and confidentiality, and safeguard the patient's personal, family, and community information obtained in the context of a professional relationship.
B Fidelity refers to an agreement to keep promises.
C Veracity, in general, means accuracy or conformity to truth. In this situation, the nurse encourages the patient to be truthful with her family.
D Justice refers to fairness.