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NURS 142 EXAM 3 NEWEST 2025 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
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- A postoperative patient who has a large abdominal incision
- Notify the health care provider of the situation.
- Cover exposed tissue with sterile towels moistened with sterile
- Place the patient in the low Fowler position.
- Document the findings and outcome of interventions.
- Maintain NPO status for return to the OR for repair.
suddenly calls out for help, shouting, "Something is falling out of my incision!" The nurse notes the wound is gaping open with tissue bulging outward. Place the nursing interventions in the order they should be performed, arranged from first to last.
0.9% sodium chloride solution.
ANSWER: Place the patient in the low Fowler position, Cover
exposed tissue with sterile towels moistened with sterile 0.9% sodium chloride solution, Notify the health care provider of the situation, Maintain NPO status for return to the OR for repair, Document the findings and outcome of interventions.
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Explanation: This describes wound dehiscence with evisceration
(tissue protruding). The priority is to minimize further damage:
(1) Low Fowler position reduces intra-abdominal pressure; (2) Covering with sterile, moist towels protects exposed viscera; (3) Notifying the provider ensures prompt surgical intervention; (4) NPO status prepares for OR; (5) Documentation occurs after stabilization.
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- A patient was in an automobile accident and received a
- Pain
- Wound healing
- Body image
- Change in cognition
wound across the nose and cheek. After surgery to repair the wound, the patient says, "I am so ugly now." Based on this statement, psychosocial problem will the nurse plan to address?
ANSWER: Body image
Explanation: The patient’s statement reflects distress about
appearance post-surgery, indicating a psychosocial issue related
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to body image. Wounds cause emotional as well as physical stress, and this comment suggests a need to address self- perception rather than pain, healing, or cognition.
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- A patient is admitted with a nonhealing surgical wound.
- Applying sterile dressing supplies
- Discussing zinc supplementation with the health care provider
- Maintaining bedrest
- Performing careful hand hygiene
- Teaching the patient to increase protein in the diet
- Suggesting the patient consume vitamin C-containing foods
Which nursing interventions will the nurse use to promote wound healing? Select all that apply.
ANSWER: a, b, d, e, f
Explanation: Promoting wound healing involves: (a) sterile dressings to prevent infection; (b) zinc supplementation to support tissue repair; (d) hand hygiene to maintain asepsis; (e) increased protein for tissue synthesis; (f) vitamin C for collagen
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formation. (c) Bedrest may not be indicated unless specific to the wound location or patient condition, and prolonged immobility can impair healing.
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- A nurse on a surgical unit is working with a nursing student
- Hemostasis occurs immediately after the initial injury.
- A liquid called exudate is formed during the proliferation
- White blood cells move to the wound in the inflammatory
- Granulation tissue forms in the inflammatory phase.
- During the inflammatory phase, the patient has generalized
- A scar forms during the proliferation phase.
and discussing various phases of wound healing for postoperative patients. Which statements accurately describe these stages? Select all that apply.
phase.
phase.
body response.