The nurse answers the patient's call light to find the patient ...

[pane00]

The nurse answers the patient's call light to find the patient agitated and stating that she felt something pop. The nurse finds that the patient's abdominal surgical wound has eviscerated. What should the nurse do?
 
  a. Try to reinsert the abdominal contents.
  b. Cover the wound with a dry sterile dressing.
  c. Notify the surgeon when he makes rounds.
  d. Cover the wound with a moist saline dressing.

Question 2

When care is provided for a patient with an NG tube in place, which intervention is safest for the nurse to implement?
 
  a. Tape the tube up and around the ear on the side of insertion.
  b. Secure the tubing to the bed by the patient's head.
  c. Mark the tube where it exits the nose.
  d. Change the tubing daily.

[mohan]

Answer to Question 1

D
This is a surgical emergency, and the nurse needs to cover the wound with a moist saline dressing, immediately notify the surgeon, and prepare the patient for emergency surgery.

Answer to Question 2

C
Once placement is confirmed, a red mark should be made or place tape on the tube to indicate where the tube exits the nose. The mark or the tube length is to be used as a guide to indicate whether displacement may have occurred. The tube should be taped to the nose, not to the ear. The tubing should be secured to the patient's gown, not to the bed, and should not be changed daily, but it may be irrigated daily.

[pane00]

Thank you

[mohan]

No problemo