888
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