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On postoperative day 2, a client requires care for a surgical wound using second-intention healing. What type of dressing change should the nurse anticipate doing?

Packing the wound bed with sterile saline-soaked dressing and covering it with a dry dressing

Valsalva maneuver

forceful exhalation against a closed glottis, which increases intrathoracic pressure and thus interferes with venous blood return to the heart

First intention healing

granulation tissue is not visible and scar formation is minimal - wound edges are surgically approximated and integumentary continuity is restored without granulation

Rhonchi

loud rumbling sounds heard on auscultation of bronchi obstructed by sputum

silent unit

no ventilation, no perfusion

Which of the following clinical manifestations increases the risk for evisceration in the postoperative client?

valsalva maneuver

Second intention healing

wound edges are not surgically approximated and integumentary continuity is restored by granulation

Orthopnea

ability to breathe easily only in an upright position

Sibilant wheezes

continuous musical sounds can be heard during inspiration and expiration

hemoptysis

coughing up blood

Tidal volume

The volume of air inhaled and exhaled with each breath