When changing the client's sterile dressings on the second ...

[jjjetplane]

When changing the client's sterile dressings on the second postoperative day, the nurse notes that the suture line is red and slightly inflamed. The nurse recognizes that these findings are:
 
  1. signs of infection and need to be reported to the physician.
  2. abnormal and need to be reported to the charge nurse.
  3. normal signs of the inflammatory response.
  4. abnormal and need to be documented.

Question 2

After abdominal surgery, a client has difficulty coughing, saying, It hurts too much. The nurse should teach the client to:
 
  1. ask for pain medication if the pain is severe.
  2. support the abdomen with a pillow during the coughing exercises.
  3. turn and deep-breathe without coughing.
  4. cough without straining the abdomen.

[rosiehomeworddo]

Answer to Question 1

Answer: 3

1. A red suture line on the second postoperative day is not a sign of infection.
2. A red suture line on the second postoperative day is not abnormal.
3. Slight redness and inflammation are normal signs of the inflammatory process caused by increased blood flow to the site of tissue trauma.
4. A red suture line on the second postoperative day is not abnormal.

Answer to Question 2

Answer: 2

1. Premedicating the client for pain also might help but not waiting until pain is severe.
2. Teaching the client to splint the incision aids in decreasing discomfort.
3. Turning and deep breathing without coughing is not proper technique.
4. Coughing without straining the abdomen is not proper coughing technique.

[jjjetplane]

Excellent

[Missbam101]

TYSM