A nurse is assisting with performing a skin preparation for a client who is scheduled for surgery. Which of the following actions should the nurse take?

Use a new sponge each time the surgical site is scrubbed.

Cleanse the surgical site with a povidone-iodine solution.

Shave the client’s hair near the surgical site.

Scrub the surgical site starting at the outer edge and moving inwards

Answer and Explanation

The Correct Answer is A

A.   This is because using the same sponge repeatedly can introduce bacteria and other contaminants to the surgical site, increasing the risk of infection.
B.   Cleansing the surgical site with a povidone-iodine solution is not recommended because it can cause skin irritation and allergic reactions. The nurse should use a chlorhexidine-based antiseptic solution instead, which is more effective and less toxic.
C.   Shaving the client's hair near the surgical site is generally avoided, as it can increase the risk of infection. Hair removal, if needed, is often done with clippers.
D.   The surgical site should be scrubbed starting at the center and moving outwards in a circular motion.

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Correct Answer is D

Explanation

A. Creatine kinase is an enzyme associated with muscle damage, not an indicator of infection.
B. Hemoglobin (Hgb) measures the amount of oxygen-carrying pigment in the blood and is not specific to infection.
C. Platelet count reflects the number of platelets in the blood and is not a direct indicator of infection.
D. An elevated white blood cell (WBC) count is indicative of an immune system response to infection.

Correct Answer is ["10"]

Explanation

To answer this question, we need to use the formula:

mL = (dose ordered / dose available) x mL available

Plugging in the values from the question, we get:

mL = (50 mg / 25 mg) x 5 mL

mL = 2 x 5 mL

mL = 10 mL

Therefore, the nurse should administer 10 mL of hydroxyzine oral suspension.

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A nurse is assisting with performing a skin preparation for a client who is scheduled for surgery. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing laboratory values for a client. Which of the following findings indicates the presence of an infection?

Correct Answer is D

Explanation

A nurse is preparing to administer hydroxyzine HCL 50 mg PO. Available is hydroxyzine oral suspension 25 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["10"]

Explanation

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