RNSG 1213 Module 9

RNSG 1213 Module 9 A client who has undergone abdominal surgery calls the nurse and reports that she just felt “something give way” in the abdominal incision. The nurse checks the incision and notes the presence of wound dehiscence. The nurse should take which immediate action? A. Contact the primary health care provider B. Place the client in a supine position with the legs flat C. Cover the abdominal wound with a sterile dressing moistened with sterile saline solution Correct D. Document the findings A client who just returned from the recovery room after a tonsillectomy and adenoidectomy is restless and the pulse rate is increased. As the nurse continues the assessment, the client begins to vomit a copious amount of bright-red blood. The nurse should take which immediate action? A. Obtain a flashlight, gauze, and a curved hemostat B. Notify the surgeon Correct C. Continue the assessment D. Check the client’s blood pressure A client who has just undergone surgery suddenly experiences chest pain, dyspnea, and tachypnea. The nurse suspects that the client has a pulmonary embolism and immediately sets about to take which action? A. Attaching the client to a cardiac monitor B. Ensuring that the intravenous (IV) line is patent C. Administering oxygen by way of nasal cannula Correct D. Preparing the client for a perfusion scan Incorrect