Chapter 33 Practice Questions
1. A nurse is caring for a client who is 2 days postoperative after abdominal surgery.
What nursing intervention would be important to promote wound healing at this
time?
A. administering pain medications on a PRN and regular basis
B. assisting the client in moving to prevent strain on the suture line
C. telling the client that a mild fever is a normal response
D. preventing scar formation so it does not limit joint movement
2. A nurse is educating a postoperative client on essential nutrition for healing. What
statement by the client would indicate a need for more information?
A. "I will drink a lot of orange juice and drink milk, too."
B. "I will take the zinc supplement the doctor recommended."
C. "I will restrict my diet to fats and carbohydrates."
D. "I will drink 8 to 10 glasses of water every day."
3. What nursing concern is the priority for a client who has a large wound from
colon surgery, is obese, and is taking corticosteroid medications?
A. altered self-care ability
B. altered nutrition risk
C. anxiety
D. infection risk
4. A nurse is assessing a client with a stage 4 pressure injury. What assessment of
the injury would be expected?
A. full-thickness skin loss
B. skin pallor
C. blister formation
D. eschar formation
5. During a dressing change, the nurse assesses protrusion of intestines through an
opened wound. What would the nurse do after covering the wound with towels
moistened with sterile 0.9% sodium chloride solution?
A. document the assessments and intervention
B. reinforce the dressing with additional layers
C. administer pain medications intramuscularly
D. notify the physician and prepare for surgery
6. A nurse caring for a postoperative client observes the drainage in the client's
closed wound drainage system. The drainage is thin with a pale pink-yellow color.
The nurse documents the drainage as:
A. serous.
B. sanguineous.
C. serosanguineous.
D. purulent.