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A nurse is caring for a client who has just received an episiotomy. The nurse observes that the laceration extends through the perineal area and continues through the anterior rectal wall. How does the nurse classify the laceration?

A. first degree
B. fourth degree
C. third degree
D. second degree

1 Answer

1 vote

Final answer:

The nurse would classify the laceration as fourth degree. The correct answe is B. fourth degree.

Step-by-step explanation:

The nurse's assessment classifies the laceration as a fourth-degree injury, denoting its severity by involving both the perineal area and the anterior rectal wall.

This categorization signifies a critical medical condition requiring urgent attention.

Fourth-degree lacerations demand immediate repair to address the extensive tissue involvement and mitigate potential complications associated with such a profound injury.

Prompt medical intervention is crucial to minimize the risk of infection, facilitate proper healing, and prevent long-term complications.

The gravity of a fourth-degree laceration underscores the need for thorough examination, skilled medical care, and timely interventions to ensure the patient's well-being and recovery from this significant trauma.

Therefore, the correct answe is B. fourth degree.

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