ATI RN Fundamental Proctored Exam With NGN Graded -Nurselytic

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ATI RN Fundamental Proctored Exam With NGN Graded Questions

Extract:


Question 1 of 5

A client who had abdominal surgery 24 hr ago reports a pulling sensation & pain in his surgical incision. The nurse checks the client's surgical wound and finds the wound separated with viscera protruding. Which of the following interventions is appropriate? Select all.

Correct Answer: A, D

Rationale:
Correct
Answer: A, D


Rationale:
1. Covering the area with saline-soaked sterile dressings (
Choice
A) helps to protect the exposed tissues, prevent infection, and maintain a moist environment for healing.
2. Positioning the client supine with hips and knees bent (
Choice
D) can help reduce tension on the wound, alleviate pain, and minimize the risk of further tissue damage.

Summary:
- Applying an abdominal binder (
Choice
B) may increase pressure on the wound, exacerbating the situation.
- Using sterile gloves to apply pressure to exposed tissues (
Choice
C) can introduce contamination and should be avoided.
- Offering a warm beverage (
Choice E) is irrelevant and does not address the urgent need to manage the wound.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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