ATI Nurs 100 Fundamental Final Exam | Nurselytic

Questions 81

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ATI Nurs 100 Fundamental Final Exam Questions

Extract:


Question 1 of 5

A nurse is caring for a client who is 2 days postoperative following abdominal surgery and observes that the client’s wound has eviscerated. After calling for help, which of the following actions should the nurse take first?

Correct Answer: D

Rationale: The correct action is D: Cover the area with a sterile dressing moistened with 0.9% sodium chloride irrigation. This is the priority because evisceration is a medical emergency where abdominal contents protrude through the wound. Applying a sterile dressing moistened with saline helps prevent infection and dehydration. A: Placing the client supine with knees bent can be uncomfortable and delay appropriate intervention. B: Raising the head of the bed is not the first priority in this emergency situation. C: While assessing for shock is important, it should come after covering the evisceration to prevent further complications.

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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