ATI RN
ATI Nurs 100 Fundamentals Quiz Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has had staples removed from an abdominal wound postoperatively. The nurse notes a wide separation of the wound edges with light serosanguineous drainage. Which of the following actions should the nurse perform first?
Correct Answer: A
Rationale: The correct answer is A: Cover the wound with a moist, sterile gauze dressing. First, covering the wound with a dressing helps protect it from environmental contaminants, reducing the risk of infection. This step promotes wound healing by providing a moist environment, which aids in the healing process. Additionally, the dressing helps to contain the drainage, preventing it from spreading and causing further contamination. This immediate action is essential in wound care management to prevent complications. Checking vital signs (
B) is important but not the first priority in this situation. Assessing pain level (
C) is important but addressing wound care takes precedence. Obtaining a culture and sensitivity of the wound drainage (
D) can be done later if infection is suspected but is not the initial action needed in this scenario.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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