Author Question: An older adult client diagnosed with chronic obstructive pulmonary disease (COPD) is scheduled for a ... (Read 39 times)

CORALGRILL2014 · **on:** Jun 25, 2018

An older adult client diagnosed with chronic obstructive pulmonary disease (COPD) is scheduled for a total knee replacement. What should the nurse include in this client's plan of care?

A) Monitor urine output.
B) Assess postoperative wound healing.
C) Restrict protein intake.
D) Expect purulent drainage.

Question 2

A client recovering from abdominal surgery tells the nurse that something popped in the abdominal incision. Upon inspection, the nurse finds that evisceration has occurred. What actions by the nurse are appropriate?

Select all that apply.
A) Notify the client's surgeon.
B) Pack the wound with nonadherent gauze.
C) Turn the client onto the abdomen.
D) Position the client in bed with knees bent.
E) Cover the area with a large, saline-soaked dressing.

maaaaaaaaaa · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B

Chronic lung disease reduces the amount of oxygen delivered to the tissues, which could delay wound healing. The nurse should assess the postoperative wound for healing. The client may or may not need to have urine output monitored. Purulent drainage is a sign of infection and would not be expected. Postoperative clients need an adequate intake of protein for wound healing; protein should not be restricted.

Answer to Question 2

Answer: A, D, E

Evisceration occurs when an abdominal wound opens and the internal viscera protrude through the incision. The nurse should cover the area with a large, saline-soaked dressing to keep the viscera moist. The nurse should also position the client with the knees bent and notify the surgeon. Nothing should be packed into this wound. The client should not be turned onto the abdomen.