Practice Question
A nurse is caring for a client whose hysterectomy wound has eviscerated. Which of the following actions should the nurse take?
Answer Choices:
Correct Answer:
Cover the wound with a moist sterile dressing
Rationale:
🔹 Evisceration is a medical emergency in which internal organs protrude through a surgical wound.
🔹 The correct initial response is to cover the area with a sterile dressing moistened with normal saline to prevent drying and contamination.
🔹 The client should be kept in a low Fowler’s position with knees bent to reduce pressure on the wound.
🔹 Applying a binder or telling the client it's normal are both inappropriate and unsafe.
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This question is from ATI LPN N117 Fundamentals Exam which contains 44 questions.
More Questions from This Exam
A nurse is caring for a client who has a large surgical wound healing by secondary intention. The nurse should recommend a diet high in protein and which of the following nutrients?
Answer Choices:
A. Vitamin C
B. Iron
C. Potassium
D. Niacin
A nurse is collecting data from a client who has diabetes mellitus and reports foot pain. The nurse should evaluate the client for which of the following alterations as indications that the client has an infection? (Select all that apply.)
Answer Choices:
A. Bradycardia
B. An increase in platelets
C. An increase in RBCs
D. An increase in neutrophils
E. Localized edema
A nurse is teaching the parents of a child who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following manifestations should the nurse include in the teaching?
Answer Choices:
A. Fruity breath odor
B. Dry mucous membranes
C. Diaphoresis
D. Polyuria
A nurse is reinforcing teaching with a client who is scheduled for abdominal surgery about coughing and deep breathing. Which of the following statements should the nurse make?
Answer Choices:
A. "Inhale through your mouth when deep breathing."
B. "Cough and deep breath every 4 hours."
C. "Lie supine to cough and deep breath."
D. "Splint your incision with a pillow when coughing."
A nurse is collecting data from a client who has an inadequate dietary intake of fiber. Which of the following findings should the nurse expect?
Answer Choices:
A. Constipation
B. Memory loss
C. Brittle hair
D. Bleeding gums
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Fundamentals of Nursing
- Answer Choices: 4
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