chapter 14 Flashcards
Describe purulent drainage
purulent - thick, yellow, green, tan or brown drainage
how would you help a post-operative patient to cough?
splint the abdomen with a pillow
what is evisceration?
protrusion of an internal organ through a wound
how would you care for a patient with evisceration
- cover protruding organ with warm sterile normal saline dressing.
- place patient in low flowers position or supine (ati book) with knees flexed.
when should the nurse administer analgesics?
give analgesics - 30 minutes before removal dressings.
how would you remove a dressing that has adhered to the wound?
wet dressing with sterile normal saline or water
how often would you check a surgical wound for drainage in the first 24 hours?
q 2-4 hours.
what is Dehiscence?
Seperation of surgical incision or rupture of wound closure.
what are the nursing interventions for dehiscence?
A. Place a warm, moist dressing over the area and tell patient not to cough.
B. Notify MD.
what is the purpose of wet or dry dressing?
Purpose is to keep the wound bed moist and provide mechanical debridement.
what are the signs of internal hemorrhage?
BP decreased, rapid pulse, decreased urine output and dry dressing.
when patient has a bandage, where would you assess the skin for circulatory impairment?
distal to the bandage.
what type of foods help with wound healing?
Foods rich in protein, vitamin A and C and Zinc.
what is a nursing intervention in a 2-3 days post-operative patient whose dressing is saturated with sanguineous drainage?
Notify MD that patient is bleeding.
what are the nursing intervention while caring for a patient with a Jackson-pratt drain?
- compressing the bulb after emptying it.
- keep the drain below the level of bladder.
- keep patient in folwer’s position .
- empty before it is completely full.
