The nurse is concerned that the client's abdominal wound is at ...

[pane00]

The nurse is concerned that the client'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 client's bed
  d. Placing a pillow over the incision site when the client is deep breathing or coughing

Question 2

Which of the following is an age-related change that may require an adaptation of personal hygiene?
 
  a. Strengthening of the periodontal membrane
  b. Increased bony structure of the mouth
  c. Increased saliva production
  d. Weaker jaw muscles

[juicepod]

Answer to Question 1

D
A strategy to prevent dehiscence is to use a folded thin blanket or pillow placed over an ab-dominal wound when the client is coughing. This provides a splint to the area, supporting the healing tissue when coughing increases the intra-abdominal pressure.
A client 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.
Using appropriate sterile technique is always important to prevent the development of infection. However, it is not the best intervention to prevent dehiscence.
Keeping sterile towels and extra dressings at the client's bedside will not prevent wound dehis-cence.

Answer to Question 2

D

Feedback
A The periodontal membrane weakens as an individual ages.
B The bony structure of the mouth is decreased in the older patient.
C Saliva production is decreased in the older patient.
D Weaker jaw muscles may increase the work of chewing and lead to increased fatigue when eating.

[pane00]

TYSM

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