ATI RN VATI Fundamentals S 2019 Final | Nurselytic

Questions 57

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ATI RN VATI Fundamentals S 2019 Final Questions

Extract:


Question 1 of 5

A nurse is caring for a postoperative client and observes evisceration of the abdominal surgical wound. After covering the wound with a sterile,saline-soaked dressing which of the following actions should the nurse take?

Correct Answer: C

Rationale:
Correct
Answer: C - Prepare the client for emergency surgery.


Rationale: Evisceration, the protrusion of abdominal organs through the wound, is a surgical emergency that requires immediate intervention. Preparing the client for emergency surgery is crucial to address this life-threatening complication promptly. Prompt surgical repair is necessary to prevent further complications such as infection, organ damage, and potential mortality.

Incorrect

Choices:
A: Positioning the client lying flat may worsen the evisceration and should be avoided.
B: Increasing oral fluid intake is not the priority when facing evisceration; immediate surgical intervention is necessary.
D: Applying pressure to the dressed wound may cause further harm and is not the appropriate action for evisceration.

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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