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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Correct Answer is A

Explanation

Choice A rationale

Before administering digoxin, it is crucial to measure the patient’s apical pulse. Digoxin affects the heart rate, and a low pulse could indicate that the dose needs to be adjusted.

Choice B rationale

Offering a light snack is not specifically required before administering digoxin.

Choice C rationale

While it’s always important to monitor a patient’s blood pressure, it’s not specifically required before administering digoxin.

Choice D rationale

Weighing the patient is not specifically required before administering digoxin.

A. I will clean the inside of the container with a wipe. B. I will urinate a little then stop. C. I will use each cleansing wipe twice. D. I will use the cleansing wipe from front to back.

Correct Answer is B

Explanation

Choice A rationale

Cleaning the inside of the container with a wipe is not recommended. The container provided for a urine sample is sterile, and cleaning it could introduce bacteria, contaminating the sample.

Choice B rationale

The statement “I will urinate a little then stop” is correct. This is part of the process of collecting a midstream urine sample. The initial stream of urine can contain bacteria from the urethra or genital area, so it’s recommended to start urinating, then stop and collect the sample midstream.

Choice C rationale

The statement “I will use each cleansing wipe twice” is incorrect. Each cleansing wipe should only be used once to avoid reintroducing bacteria.

Choice D rationale

The statement “I will use the cleansing wipe from front to back” is correct. This is the proper way to clean the genital area to avoid introducing bacteria from the anal area into the urethra.

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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

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Correct Answer is A

Explanation

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Correct Answer is B

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?