Question: A Nurse Is Caring For A Client Who Is Postoperative Following Abdominal Surgery. The Client Reports Feeling Like “something Opened Up.” The Nurse Peels Back The Dressing To Find Separation Of The Incision With Protrusion Of Intestinal Tissue. Which Of The Following Actions Should The Nurse Take? 1. Monitor Vital Signs Every 30 Min. 2. Place The Client …

A nurse is caring for a client who is postoperative following abdominal surgery. The client reports feeling like “something opened up.” The nurse peels back the dressing to find separation of the incision with protrusion of intestinal tissue. Which of the following actions should the nurse take? 1. Monitor vital signs every 30 min. 2. Place the client in Trendelenburg position, 3. Reinsert the protruding intestinal tissue. 4. Cover the wound with a saline-soaked dressing A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the following actions should the nurse include in the plan? 1. Schedule the client for an MRI after the procedure. 2. Place the client leaning forward over the overbed table. 3. Encourage the client to take deep breaths during the procedure. 4. Ensure the client has been NPO for 6 hr. A nurse is caring for a client who is postoperative following a mitral balloon valvuloplasty Which of the following areas should the nurse auscultate to assess the mitral area of the heart? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) D W * ca 20 go DOO 44 II F EVO $ A # 3 4 % 5 6 & 7 * 8 9 0 E R T Y U I 0 P