{"id":136332,"date":"2024-09-10T13:55:00","date_gmt":"2024-09-10T13:55:00","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=136332"},"modified":"2024-09-10T13:55:02","modified_gmt":"2024-09-10T13:55:02","slug":"when-caring-for-postoperative-clients","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/10\/when-caring-for-postoperative-clients\/","title":{"rendered":"When caring for postoperative clients"},"content":{"rendered":"\n<p>When caring for postoperative clients, which situation requires the most immediate intervention by the practical nurse (PN)?<\/p>\n\n\n\n<p>A.<br>A client with diabetes mellitus (DM) develops cellulitis around a foot wound.<\/p>\n\n\n\n<p>B.<br>Following suture removal from a client&#8217;s stab wound, the wound dehisces.<\/p>\n\n\n\n<p>C.<br>Following abdominal surgery, a client experiences wound evisceration.<\/p>\n\n\n\n<p>D.<br>A client with a stage 4 sacral pressure ulcer develops purulent drainage.<\/p>\n\n\n\n<p><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\"><strong>The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n<p>The correct answer is <strong>C. Following abdominal surgery, a client experiences wound evisceration<\/strong>.<\/p>\n\n\n\n<p><strong>Explanation:<\/strong><\/p>\n\n\n\n<p>Wound evisceration, where internal organs protrude through a surgical incision, is a medical emergency and requires the most immediate intervention. Evisceration is a severe complication that can occur after abdominal surgery and poses a significant risk for infection, ischemia of the exposed organs, and further damage to the surrounding tissues. The nurse must act quickly to cover the protruding organs with a sterile, saline-moistened dressing to prevent drying, infection, and further injury, and immediately notify the healthcare provider. Surgery is usually required to repair the wound and reposition the organs.<\/p>\n\n\n\n<p>In contrast, the other situations, while concerning, do not require the same level of immediate intervention as wound evisceration:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A. A client with diabetes mellitus develops cellulitis around a foot wound<\/strong>: While cellulitis in a client with diabetes is serious and needs prompt treatment (typically with antibiotics), it is not immediately life-threatening unless left untreated for a prolonged period. This situation requires intervention but is not an emergency compared to evisceration.<\/li>\n\n\n\n<li><strong>B. Following suture removal, the wound dehisces<\/strong>: Wound dehiscence, the reopening of a surgical incision, is concerning and requires medical attention but does not usually demand the same immediate action as evisceration. The wound must be cleaned and re-sutured to prevent infection, but it is not as critical as exposed internal organs.<\/li>\n\n\n\n<li><strong>D. A client with a stage 4 sacral pressure ulcer develops purulent drainage<\/strong>: Purulent drainage indicates infection, which is a serious concern, especially with a stage 4 pressure ulcer. However, immediate life-saving measures are not typically required unless the infection is severe and systemic (e.g., sepsis).<\/li>\n<\/ul>\n\n\n\n<p>Given the life-threatening nature of evisceration, it requires the most urgent response.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>When caring for postoperative clients, which situation requires the most immediate intervention by the practical nurse (PN)? A.A client with diabetes mellitus (DM) develops cellulitis around a foot wound. B.Following suture removal from a client&#8217;s stab wound, the wound dehisces. C.Following abdominal surgery, a client experiences wound evisceration. D.A client with a stage 4 sacral [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-136332","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/136332","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=136332"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/136332\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=136332"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=136332"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=136332"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}