Author Question: A client had a colon resection that required a large abdominal incision. Wound healing differs ... (Read 42 times)

809779 · **on:** Jul 16, 2018

A client had a colon resection that required a large abdominal incision. Wound healing differs according to how much tissue has been damaged. What is the purpose of a dry sterile dressing for this client?

A) Absorbs drainage from the surgical wound
B) Prevents development of a pressure ulcer
C) Protects it from contamination
D) Prevents skin breakdown owing to friction

Question 2

The nurse is counseling a 30-year-old woman diagnosed with paraplegia following a recent rock climbing accident. Which of the following would the nurse include in a teaching plan?

A) The use of birth control pills is recommended.
B) Menses usually resume within 1 year following the injury.
C) Tampons are not recommended for use and can be dangerous.
D) Labor and childbirth are easier and safer because of the paralysis.

amandanbreshears · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

B
Feedback:
Dry sterile dressings are mostly used for clean wounds, such as surgical incisions, that heal by primary intention to protect it from contamination. Gel-foam packing is done for a wound with a draining sinus tract. A transparent dressing is used to prevent skin breakdown owing to friction. Sterile padding is used to prevent pressure ulcers.

Answer to Question 2

C
Feedback:
The use of tampons is dangerous because the woman may forget that a tampon is in place because she has no sensation. The use of birth control pills is not recommended because they can lead to thrombus formation, particularly if the client is not exercising or is immobile. Menses usually resume within 3 months following the injury. Labor and childbirth may be dangerous. The woman may not be aware of the onset of labor. The likelihood of a cesarean birth is increased because the woman may not be able to assist with the delivery and the uterus may not have adequate muscle tone. In addition, labor and delivery may serve as a trigger for autonomic dysreflexia.