A nurse is attending to a patient with a wound infection.
What should the nurse do when collecting a wound-drainage specimen for culture?

Swab an area of skin away from the wound to identify the usual flora.

Irrigate the wound with an antiseptic prior to obtaining the specimen.

Cleanse the wound with 0.9% sodium chloride saline irrigation before obtaining the specimen.

Include intact skin at the wound edges in the culture.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Swabbing an area of skin away from the wound to identify the usual flora is not the correct action. This would not provide a representative sample of the wound infection.

Choice B rationale

Irrigating the wound with an antiseptic prior to obtaining the specimen is not the correct action. This could potentially alter the results of the culture.

Choice C rationale

Cleansing the wound with 0.9% sodium chloride saline irrigation before obtaining the specimen is the correct action. This helps to remove surface bacteria and ensures a more accurate culture result.

Choice D rationale

Including intact skin at the wound edges in the culture is not the correct action. This could contaminate the specimen with bacteria that are not part of the wound infection.

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Free Nursing Study Resources

Correct Answer is ["3"]

Explanation

Step 1 is: Identify the prescribed dose, which is 0.3 mg.

Step 2 is: Identify the available amount, which is 0.1 mg per tablet.

Step 3 is: Divide the prescribed dose by the available amount to find the number of tablets. So,

0.3 mg ÷ 0.1 mg/tablet equals 3 tablets. Therefore, the nurse should administer 3 tablets per dose.

A. Abdominal girth. B. Blood pressure. C. Heart rate. D. Oxygen saturation.

Correct Answer is ["B","C","D"]

Explanation

Choice A rationale

While monitoring abdominal girth can be important in patients with cirrhosis, especially those with ascites, it is not typically an assessment finding that requires immediate follow-up.

Choice B rationale

A blood pressure of 82/58 mm Hg is low and could indicate hypotension, which requires immediate follow-up.

Choice C rationale

A heart rate of 101/min is elevated and could indicate tachycardia, which requires immediate follow-up.

Choice D rationale

An oxygen saturation of 92% is lower than the normal range of 95% to 100%, indicating potential hypoxia, which requires immediate follow-up.

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A nurse is attending to a patient with a wound infection.What should the nurse do when collecting a wound-drainage specimen for culture?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer clonidine 0.3 mg at bedtime to a patient. The available amount is clonidine 0.1 mg/tablet. How many tablets should the nurse administer per dose?

Correct Answer is ["3"]

Explanation

Correct Answer is ["B","C","D"]

Explanation

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A nurse is attending to a patient with a wound infection.
What should the nurse do when collecting a wound-drainage specimen for culture?