Author Question: A client has sustained multiple contusions from a motor vehicle accident. What should the nurse do ... (Read 23 times)

tfester · **on:** Jul 23, 2018

A client has sustained multiple contusions from a motor vehicle accident. What should the nurse do to prepare for this client's care?

1. Obtain ice packs to apply to the wounds.
2. Request gauze to pack the wounds.
3. Organize suture material to close the wounds.
4. Notify the surgical staff that a surgical client will soon be arriving.

Question 2

The surgical report of a newly transferred client indicates that there was a great deal of intestinal spillage into the abdominal cavity during the client's bowel resection.

For which category of wound should the receiving nurse plan care for this client?
1. Clean-contaminated
2. Contaminated
3. Dirty
4. Infected

scottmt · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale: Contusions are closed wounds in which the skin is ecchymotic or bruised due to damage of blood vessels. These wounds are treated with ice pack application for the first 24 hours.

Answer to Question 2

Correct Answer: 2
Rationale 1: Clean-contaminated wounds are surgical wounds in which the respiratory, alimentary, genital, or urinary tract has been entered, but minimal to no spillage has occurred.
Rationale 2: A surgical wound in which there is a large amount of spillage from the gastrointestinal tract is considered a contaminated wound.
Rationale 3: A dirty wound is one that contains dead tissue or that has evidence of a clinical infection, such as purulent drainage.
Rationale 4: An infected wound is one that contains dead tissue or that has evidence of a clinical infection, such as purulent drainage.